JAMIE S BURDETTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136505

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

Last Name

BURDETTE

Business Name

JAMIE S BURDETTE

Original Issue Date

05/31/2001

Effective Date

05/31/2001

Expiration Date

03/31/2002

City

SEYMOUR

State

Zip

61875

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/06/2005