CARLA BURGESS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049226857

License Status

NOT RENEWED

Business

First Name

CARLA

Last Name

BURGESS

Business Name

CARLA BURGESS

Original Issue Date

07/31/2014

Effective Date

03/11/2016

Expiration Date

03/31/2017

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2017