TIMOTHY ANDREW BERG - Pharmacist License in Illinois | # 049114047

TIMOTHY ANDREW BERG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114047

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005