RANDALL E BERG Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061465

License Status

CANCELLED

Business

First Name

RANDALL E

Last Name

BERG

Business Name

RANDALL E BERG

Original Issue Date

05/17/1974

Effective Date

05/17/1974

Expiration Date

01/01/1997

City

AURORA

State

Zip

60505

County

KANE

Ever Disciplined

LastModifiedDate

07/12/2007