BRIAN ERIC BURSOTT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193920

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

ERIC

Last Name

BURSOTT

Business Name

BRIAN ERIC BURSOTT

Original Issue Date

08/27/2009

Effective Date

02/22/2011

Expiration Date

03/31/2012

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/07/2012