DUSTIN T BURWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237606

License Status

NOT RENEWED

Business

First Name

DUSTIN

Middle

Last Name

BURWELL

Business Name

DUSTIN T BURWELL

Original Issue Date

11/11/2015

Effective Date

11/11/2015

Expiration Date

03/31/2016

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/20/2016