JACQUELINE ROSE BURKAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142394

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

ROSE

Last Name

BURKAT

Business Name

JACQUELINE ROSE BURKAT

Original Issue Date

05/13/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MUNSTER

State

Zip

46321

Ever Disciplined

LastModifiedDate

05/14/2007