BENJAMIN E BERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148957

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

BERG

Business Name

BENJAMIN E BERG

Original Issue Date

06/17/2003

Effective Date

06/17/2003

Expiration Date

03/31/2004

City

RUTLAND

State

Zip

61358

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/20/2005