ASHLEY NICOLE BURGESS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207434

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

NICOLE

Last Name

BURGESS

Business Name

ASHLEY NICOLE BURGESS

Original Issue Date

10/24/2011

Effective Date

01/31/2012

Expiration Date

03/31/2013

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

05/06/2013