TIMOTHY ANDREW BERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114047

License Status

NOT RENEWED

Business

First Name

TIMOTHY ANDREW

Last Name

BERG

Business Name

TIMOTHY ANDREW BERG

Original Issue Date

04/22/1996

Effective Date

04/22/1996

Expiration Date

03/31/1997

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005