PATRICIA ANN BERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132841

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

ANN

Last Name

BERG

Business Name

PATRICIA ANN BERG

Original Issue Date

09/22/2000

Effective Date

04/06/2009

Expiration Date

03/31/2010

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/04/2010