ANGELA SUE BERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149864

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

SUE

Last Name

BERG

Business Name

ANGELA SUE BERG

Original Issue Date

08/19/2003

Effective Date

08/19/2003

Expiration Date

03/31/2005

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/20/2005