VIVIAN S BURLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201488

License Status

NOT RENEWED

Business

First Name

VIVIAN

Middle

Last Name

BURLEY

Business Name

VIVIAN S BURLEY

Original Issue Date

11/10/2010

Effective Date

02/15/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012