MICHELLE MARIE BERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176860

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

MARIE

Last Name

BERG

Business Name

MICHELLE MARIE BERG

Original Issue Date

06/07/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/06/2009