LARISA P BEREHE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095169

License Status

NOT RENEWED

Business

First Name

LARISA P

Last Name

BEREHE

Business Name

LARISA P BEREHE

Original Issue Date

12/01/1990

Effective Date

12/01/1990

Expiration Date

03/31/1992

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005