LYMAN A BERGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028908

License Status

NOT RENEWED

Business

First Name

LYMAN A

Last Name

BERGE

Business Name

LYMAN A BERGE

Original Issue Date

01/01/1997

Effective Date

03/05/2012

Expiration Date

03/31/2014

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2014