DANIEL E BURGOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139712

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

BURGOS

Business Name

DANIEL E BURGOS

Original Issue Date

12/27/2001

Effective Date

12/27/2001

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005