VIVIENNE C BURNETT - Pharmacist License in Illinois | # 049152918

VIVIENNE C BURNETT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152918

License Status

NOT RENEWED

Business

N

First Name

VIVIENNE

Middle

C

Last Name

BURNETT

Business Name

VIVIENNE C BURNETT

Original Issue Date

01/16/2004

Effective Date

04/01/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011