IAN LEVON BURTCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137209

License Status

NOT RENEWED

Business

First Name

IAN

Middle

LEVON

Last Name

BURTCH

Business Name

IAN LEVON BURTCH

Original Issue Date

07/12/2001

Effective Date

07/12/2001

Expiration Date

03/31/2002

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

12/06/2005