BEVERLY J OGBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208138

License Status

NOT RENEWED

Business

First Name

BEVERLY

Middle

Last Name

OGBURN

Business Name

BEVERLY J OGBURN

Original Issue Date

12/06/2011

Effective Date

03/24/2021

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022