KELSEY ANNE BURGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202114

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

ANNE

Last Name

BURGE

Business Name

KELSEY ANNE BURGE

Original Issue Date

01/03/2011

Effective Date

02/20/2019

Expiration Date

09/30/2020

City

MOUNT VERNON

State

Zip

62864

Ever Disciplined

LastModifiedDate

01/08/2021