KELLY BURCHFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213532

License Status

NOT RENEWED

Business

First Name

KELLY

Last Name

BURCHFIELD

Prefix

Business Name

KELLY BURCHFIELD

Original Issue Date

09/16/2012

Effective Date

09/16/2012

Expiration Date

03/31/2013

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2013