BOURK EFON MUDON - Pharmacist License in Illinois | # 049156452

BOURK EFON MUDON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156452

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008