FREDERICK R BERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025261

License Status

NOT RENEWED

Business

First Name

FREDERICK R

Last Name

BERG

Business Name

FREDERICK R BERG

Original Issue Date

01/01/1997

Effective Date

04/02/2012

Expiration Date

03/31/2014

City

FULTON

State

Zip

61252

County

WHITESIDE

Ever Disciplined

LastModifiedDate

05/06/2014