AMANDA L BURGESS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152865

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

BURGESS

Business Name

AMANDA L BURGESS

Original Issue Date

01/15/2004

Effective Date

01/15/2004

Expiration Date

03/31/2006

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006