ERIN NICOLE BURGRABE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145195

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

NICOLE

Last Name

BURGRABE

Business Name

ERIN NICOLE BURGRABE

Original Issue Date

10/10/2002

Effective Date

10/10/2002

Expiration Date

03/31/2006

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/11/2006