STEPHANIE MARIE BURGOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262810

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

MARIE

Last Name

BURGOS

Business Name

STEPHANIE MARIE BURGOS

Original Issue Date

01/28/2019

Effective Date

01/28/2019

Expiration Date

09/30/2020

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

01/08/2021