CHAUNCEY L BERTHA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111717

License Status

NOT RENEWED

Business

First Name

CHAUNCEY L

Last Name

BERTHA

Business Name

CHAUNCEY L BERTHA

Original Issue Date

09/13/1995

Effective Date

09/13/1995

Expiration Date

03/31/1996

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005