JACOB D BURGESS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211699

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

BURGESS

Prefix

Business Name

JACOB D BURGESS

Original Issue Date

06/14/2012

Effective Date

03/03/2014

Expiration Date

03/31/2015

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

05/11/2015