EDITH NICOLE BURNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166640

License Status

NOT RENEWED

Business

First Name

EDITH

Middle

NICOLE

Last Name

BURNETT

Business Name

EDITH NICOLE BURNETT

Original Issue Date

03/07/2006

Effective Date

04/12/2018

Expiration Date

03/31/2019

City

BROADVIEW

State

Zip

60155

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019