MARTHA COTTOM BERG - Pharmacist License in Illinois | # 049050543

MARTHA COTTOM BERG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049050543

License Status

NOT RENEWED

Business

N

First Name

MARTHA COTTOM

Last Name

BERG

Business Name

MARTHA COTTOM BERG

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005