MARK EDWARD BERG - Pharmacist License in Illinois | # 049175437

MARK EDWARD BERG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175437

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

EDWARD

Last Name

BERG

Business Name

MARK EDWARD BERG

Original Issue Date

04/09/2007

Effective Date

01/12/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011