DANIEL E BURGOS - Pharmacist License in Illinois | # 049139712

DANIEL E BURGOS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139712

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Middle

E

Last Name

BURGOS

Business Name

DANIEL E BURGOS

Original Issue Date

12/27/2001

Effective Date

12/27/2001

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005