TYLA MARIE BURGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230543

License Status

NOT RENEWED

Business

First Name

TYLA

Middle

MARIE

Last Name

BURGE

Business Name

TYLA MARIE BURGE

Original Issue Date

01/15/2015

Effective Date

01/15/2015

Expiration Date

03/31/2016

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/20/2016