GAGE JERRON BURROUGHS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256899

License Status

NOT RENEWED

Business

First Name

GAGE

Middle

JERRON

Last Name

BURROUGHS

Business Name

GAGE JERRON BURROUGHS

Original Issue Date

03/21/2018

Effective Date

03/21/2018

Expiration Date

03/31/2019

City

JOHNSTON CITY

State

Zip

62951

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/15/2019