KHIIARRAH BURNSIDE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268924

License Status

NOT RENEWED

Business

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

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

01/08/2021