MANDY GLENN BERG - Pharmacist License in Illinois | # 049249919

MANDY GLENN BERG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249919

License Status

NOT RENEWED

Business

N

First Name

MANDY

Middle

GLENN

Last Name

BERG

Business Name

MANDY GLENN BERG

Original Issue Date

04/14/2017

Effective Date

03/06/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021