TIFFANY M BERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223868

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

BERG

Business Name

TIFFANY M BERG

Original Issue Date

03/13/2014

Effective Date

01/26/2015

Expiration Date

03/31/2016

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/20/2016