LACHELLE A BURNHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179753

License Status

NOT RENEWED

Business

First Name

LACHELLE

Middle

Last Name

BURNHAM

Business Name

LACHELLE A BURNHAM

Original Issue Date

10/05/2007

Effective Date

10/05/2007

Expiration Date

03/31/2008

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008