MARY ANN BURGETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148104

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ANN

Last Name

BURGETT

Business Name

MARY ANN BURGETT

Original Issue Date

04/17/2003

Effective Date

03/15/2017

Expiration Date

03/31/2018

City

SUMNER

State

Zip

62466

County

LAWRENCE

Ever Disciplined

LastModifiedDate

06/19/2018