JESSICA NICHOLE BERGHAUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189995

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

NICHOLE

Last Name

BERGHAUS

Business Name

JESSICA NICHOLE BERGHAUS

Original Issue Date

03/03/2009

Effective Date

03/04/2014

Expiration Date

03/31/2015

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

05/11/2015