DEDRA SHANEE BURLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145622

License Status

NOT RENEWED

Business

First Name

DEDRA

Middle

SHANEE

Last Name

BURLOCK

Business Name

DEDRA SHANEE BURLOCK

Original Issue Date

11/04/2002

Effective Date

05/16/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009