KEIONNA D BURT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173144

License Status

NOT RENEWED

Business

First Name

KEIONNA

Middle

Last Name

BURT

Business Name

KEIONNA D BURT

Original Issue Date

12/13/2006

Effective Date

04/08/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017