LISA MARIE BURTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162721

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

BURTON

Business Name

LISA MARIE BURTON

Original Issue Date

08/03/2005

Effective Date

08/03/2005

Expiration Date

03/31/2006

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/14/2007