ANGEL GABRIELLE BURGESS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158491

License Status

NOT RENEWED

Business

First Name

ANGEL

Middle

GABRIELLE

Last Name

BURGESS

Business Name

ANGEL GABRIELLE BURGESS

Original Issue Date

12/21/2004

Effective Date

10/31/2006

Expiration Date

03/31/2007

City

BEACH PARK

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

05/14/2007