KRYSTAL G BERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147434

License Status

NOT RENEWED

Business

First Name

KRYSTAL

Middle

Last Name

BERG

Business Name

KRYSTAL G BERG

Original Issue Date

03/14/2003

Effective Date

07/09/2012

Expiration Date

03/31/2013

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

05/06/2013