MIREENA JEN'NE BURRIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210776

License Status

NOT RENEWED

Business

First Name

MIREENA

Middle

JEN'NE

Last Name

BURRIS

Business Name

MIREENA JEN'NE BURRIS

Original Issue Date

05/02/2012

Effective Date

03/10/2016

Expiration Date

03/31/2017

City

SAINT JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/10/2017