ADAM DAVID BERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248294

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

DAVID

Last Name

BERG

Business Name

ADAM DAVID BERG

Original Issue Date

02/06/2017

Effective Date

04/08/2019

Expiration Date

09/30/2020

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2021