DEMISHA KANIELLE BURKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155595

License Status

NOT RENEWED

Business

First Name

DEMISHA

Middle

KANIELLE

Last Name

BURKS

Business Name

DEMISHA KANIELLE BURKS

Original Issue Date

06/23/2004

Effective Date

06/23/2004

Expiration Date

03/31/2005

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005