MADISON L BERTHOUD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049272927

License Status

NOT RENEWED

Business

First Name

MADISON

Middle

Last Name

BERTHOUD

Business Name

MADISON L BERTHOUD

Original Issue Date

04/24/2020

Effective Date

04/24/2020

Expiration Date

03/31/2021

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/20/2021