TIARA DENISE BURRAGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263450

License Status

NOT RENEWED

Business

First Name

TIARA

Middle

DENISE

Last Name

BURRAGE

Business Name

TIARA DENISE BURRAGE

Original Issue Date

02/20/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/20/2021