TRAVIS ROSS NEWBERG - Pharmacist License in Illinois | # 049138028

TRAVIS ROSS NEWBERG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138028

License Status

NOT RENEWED

Business

N

First Name

TRAVIS

Middle

ROSS

Last Name

NEWBERG

Business Name

TRAVIS ROSS NEWBERG

Original Issue Date

09/10/2001

Effective Date

09/10/2001

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005