JAMIE L BERGHAUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100628

License Status

NOT RENEWED

Business

First Name

JAMIE L

Last Name

BERGHAUS

Business Name

JAMIE L BERGHAUS

Original Issue Date

07/08/1992

Effective Date

07/08/1992

Expiration Date

03/31/1993

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005