KELSEY E BERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201320

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

Last Name

BERG

Prefix

Business Name

KELSEY E BERG

Original Issue Date

10/29/2010

Effective Date

01/18/2012

Expiration Date

03/31/2013

City

CRESTWOOD

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013