DANIELLE S BURROUGHS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290190

License Status

INACTIVE

Business

First Name

DANIELLE

Middle

Last Name

BURROUGHS

Business Name

DANIELLE S BURROUGHS

Original Issue Date

09/21/2004

Effective Date

03/26/2012

Expiration Date

03/31/2014

City

BALLWIN

State

Zip

63021

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/09/2014