STEPHEN DAVID BURDGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031534

License Status

NOT RENEWED

Business

First Name

STEPHEN DAVID

Last Name

BURDGE

Business Name

STEPHEN DAVID BURDGE

Original Issue Date

08/18/1977

Effective Date

03/16/2020

Expiration Date

07/31/2022

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/14/2022