TARA L BURBANK - Pharmacist License in Illinois | # 049233830

TARA L BURBANK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049233830

License Status

NOT RENEWED

Business

N

First Name

TARA

Middle

L

Last Name

BURBANK

Prefix

MR

Business Name

TARA L BURBANK

Original Issue Date

06/17/2015

Effective Date

03/23/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017