BRIAN LEE BURNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154162

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

LEE

Last Name

BURNETT

Business Name

BRIAN LEE BURNETT

Original Issue Date

04/26/2004

Effective Date

03/30/2010

Expiration Date

03/31/2011

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

05/12/2011