EDWARD WAYNE BURGE JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240080

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

WAYNE

Last Name

BURGE

Suffix

Business Name

EDWARD WAYNE BURGE JR

Original Issue Date

03/11/2016

Effective Date

03/11/2016

Expiration Date

03/31/2017

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/10/2017