LARISA P BEREHE - Pharmacist License in Illinois | # 049095169

LARISA P BEREHE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095169

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005