NATASHA NICOLE BURGENER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137962

License Status

NOT RENEWED

Business

First Name

NATASHA

Middle

NICOLE

Last Name

BURGENER

Business Name

NATASHA NICOLE BURGENER

Original Issue Date

09/10/2001

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2009