NICKI JO BURGESS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234918

License Status

NOT RENEWED

Business

First Name

NICKI

Middle

Last Name

BURGESS

Business Name

NICKI JO BURGESS

Original Issue Date

07/27/2015

Effective Date

07/27/2015

Expiration Date

03/31/2016

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/20/2016