VAN BURIN NEWELL JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155483

License Status

NOT RENEWED

Business

First Name

VAN

Middle

BURIN

Last Name

NEWELL

Suffix

Business Name

VAN BURIN NEWELL JR

Original Issue Date

06/21/2004

Effective Date

03/16/2016

Expiration Date

03/31/2017

City

LYNWOOD

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017