GLEN BERGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066670

License Status

NOT RENEWED

Business

First Name

GLEN

Last Name

BERGER

Business Name

GLEN BERGER

Original Issue Date

01/21/1977

Effective Date

01/21/1977

Expiration Date

01/01/1997

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005