MARTHA COTTOM BERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049050543

License Status

NOT RENEWED

Business

First Name

MARTHA COTTOM

Last Name

BERG

Business Name

MARTHA COTTOM BERG

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005