JACKIE JEAN BURLISON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139427

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

JEAN

Last Name

BURLISON

Business Name

JACKIE JEAN BURLISON

Original Issue Date

11/29/2001

Effective Date

11/29/2001

Expiration Date

03/31/2002

City

GALATIA

State

Zip

62935

County

SALINE

Ever Disciplined

LastModifiedDate

12/06/2005