CHADD WAYNE BURGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200262

License Status

NOT RENEWED

Business

First Name

CHADD

Middle

WAYNE

Last Name

BURGAN

Business Name

CHADD WAYNE BURGAN

Original Issue Date

08/30/2010

Effective Date

02/28/2011

Expiration Date

03/31/2012

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012