TARA L BURBANK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049233830

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

BURBANK

Prefix

Business Name

TARA L BURBANK

Original Issue Date

06/17/2015

Effective Date

03/23/2016

Expiration Date

03/31/2017

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

05/10/2017