BRIAN R BURGESS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177222

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

BURGESS

Business Name

BRIAN R BURGESS

Original Issue Date

06/20/2007

Effective Date

06/20/2007

Expiration Date

03/31/2008

City

LONG GROVE

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2008