FAITH NICOLE BURNHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049273636

License Status

NOT RENEWED

Business

First Name

FAITH

Middle

NICOLE

Last Name

BURNHAM

Business Name

FAITH NICOLE BURNHAM

Original Issue Date

06/08/2020

Effective Date

06/08/2020

Expiration Date

03/31/2021

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

07/20/2021