KHIIARRAH BURNSIDE - Pharmacist License in Illinois | # 049268924

KHIIARRAH BURNSIDE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268924

License Status

NOT RENEWED

Business

N

First Name

KHIIARRAH

Last Name

BURNSIDE

Business Name

KHIIARRAH BURNSIDE

Original Issue Date

11/01/2019

Effective Date

11/01/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021