JUSTYNA BERGHOLZ - Pharmacist License in Indiana | # 049211783

JUSTYNA BERGHOLZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211783

License Status

NOT RENEWED

Business

N

First Name

JUSTYNA

Last Name

BERGHOLZ

Business Name

JUSTYNA BERGHOLZ

Original Issue Date

06/20/2012

Effective Date

06/20/2012

Expiration Date

03/31/2013

State

IN

Ever Disciplined

N

LastModifiedDate

05/06/2013