DOUG M BERCKART Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192879

License Status

NOT RENEWED

Business

First Name

DOUG

Middle

Last Name

BERCKART

Business Name

DOUG M BERCKART

Original Issue Date

07/09/2009

Effective Date

04/13/2010

Expiration Date

03/31/2011

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/12/2011