THOMAS FREDERICK BERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061788

License Status

NOT RENEWED

Business

First Name

THOMAS FREDERICK

Last Name

BERG

Business Name

THOMAS FREDERICK BERG

Original Issue Date

06/28/1974

Effective Date

06/28/1974

Expiration Date

03/31/1984

City

FULTON

State

Zip

61252

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/17/2005