DIANE MILLER BERG - Pharmacist License in Illinois | # 049128079

DIANE MILLER BERG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128079

License Status

NOT RENEWED

Business

N

First Name

DIANE

Middle

MILLER

Last Name

BERG

Business Name

DIANE MILLER BERG

Original Issue Date

10/28/1999

Effective Date

10/28/1999

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005