MICHAEL P BURRIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168898

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

BURRIS

Business Name

MICHAEL P BURRIS

Original Issue Date

05/24/2006

Effective Date

05/24/2006

Expiration Date

03/31/2007

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/14/2007