TIMOTHY JON BURK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168868

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

JON

Last Name

BURK

Business Name

TIMOTHY JON BURK

Original Issue Date

05/24/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2008