DAVID BRUCE SANDBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057734

License Status

NOT RENEWED

Business

First Name

DAVID BRUCE

Last Name

SANDBERG

Business Name

DAVID BRUCE SANDBERG

Original Issue Date

05/16/1972

Effective Date

05/16/1972

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005