MELODY L BERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131150

License Status

NOT RENEWED

Business

First Name

MELODY

Middle

Last Name

BERG

Business Name

MELODY L BERG

Original Issue Date

06/13/2000

Effective Date

06/13/2000

Expiration Date

03/31/2003

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005