DIANE MILLER BERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128079

License Status

NOT RENEWED

Business

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

City

RICHTON PARK

State

Zip

60471

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005