GEORGE OTAR BURJANADZE - Pharmacist License in Illinois | # 049140937

GEORGE OTAR BURJANADZE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140937

License Status

NOT RENEWED

Business

N

First Name

GEORGE

Middle

OTAR

Last Name

BURJANADZE

Business Name

GEORGE OTAR BURJANADZE

Original Issue Date

02/21/2002

Effective Date

02/21/2002

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005