BOURK EFON MUDON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156452

License Status

NOT RENEWED

Business

First Name

BOURK

Middle

EFON

Last Name

MUDON

Business Name

BOURK EFON MUDON

Original Issue Date

08/10/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008