ROGER DALE BURDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131931

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

DALE

Last Name

BURDEN

Business Name

ROGER DALE BURDEN

Original Issue Date

07/31/2000

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009