JAN GOLDBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066496

License Status

NOT RENEWED

Business

First Name

JAN

Last Name

GOLDBERG

Business Name

JAN GOLDBERG

Original Issue Date

12/03/1976

Effective Date

12/03/1976

Expiration Date

01/01/1997

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005