IRENE MAE BURRIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159161

License Status

NOT RENEWED

Business

First Name

IRENE

Middle

MAE

Last Name

BURRIS

Business Name

IRENE MAE BURRIS

Original Issue Date

02/09/2005

Effective Date

03/03/2015

Expiration Date

03/31/2016

City

ROANOKE

State

Zip

61561

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/20/2016