MASON BURGIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277088

License Status

NOT RENEWED

Business

First Name

MASON

Last Name

BURGIN

Business Name

MASON BURGIN

Original Issue Date

10/28/2020

Effective Date

04/22/2022

Expiration Date

03/31/2023

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/07/2023