TRAVIS ROSS NEWBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138028

License Status

NOT RENEWED

Business

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

City

LONG GROVE

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

12/06/2005