HARRY J BURGE JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035666

License Status

NOT RENEWED

Business

First Name

HARRY

Middle

Last Name

BURGE

Suffix

Business Name

HARRY J BURGE JR

Original Issue Date

02/07/1985

Effective Date

02/26/2014

Expiration Date

03/31/2016

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/20/2016