TRICIA L BURKHOLDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180781

License Status

NOT RENEWED

Business

First Name

TRICIA L

Last Name

BURKHOLDER

Business Name

TRICIA L BURKHOLDER

Original Issue Date

11/28/2007

Effective Date

01/06/2009

Expiration Date

03/31/2010

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

05/04/2010