KENNETH ANTHONY BURGOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207952

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

ANTHONY

Last Name

BURGOS

Business Name

KENNETH ANTHONY BURGOS

Original Issue Date

11/22/2011

Effective Date

11/22/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012