DEBORA M BERTHOLD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092887

License Status

NOT RENEWED

Business

First Name

DEBORA M

Last Name

BERTHOLD

Business Name

DEBORA M BERTHOLD

Original Issue Date

04/21/1990

Effective Date

04/21/1990

Expiration Date

03/31/1995

City

POSEN

State

Zip

60469

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005