KENNETH ANTHONY BURGOS - Pharmacist License in Illinois | # 049207952

KENNETH ANTHONY BURGOS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207952

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012