SUSAN MARIE BERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030595

License Status

NOT RENEWED

Business

First Name

SUSAN MARIE

Last Name

BERG

Business Name

SUSAN MARIE BERG

Original Issue Date

07/25/1975

Effective Date

04/02/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021