AVERY BRUCE BURACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158361

License Status

NOT RENEWED

Business

First Name

AVERY

Middle

BRUCE

Last Name

BURACK

Business Name

AVERY BRUCE BURACK

Original Issue Date

12/15/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

09/13/2010

Case Number

2009001442

Action

Refuse To Renew

Discipline Start Date

09/13/2010

Discipline Reason

after having admitted to diverting controlled substances for personal use from his former pharmacy employer.