SHIRLEY J BURGESS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174649

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Middle

Last Name

BURGESS

Business Name

SHIRLEY J BURGESS

Original Issue Date

03/06/2007

Effective Date

02/01/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011