JUSTYNA BERGHOLZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211783

License Status

NOT RENEWED

Business

First Name

JUSTYNA

Last Name

BERGHOLZ

Business Name

JUSTYNA BERGHOLZ

Original Issue Date

06/20/2012

Effective Date

06/20/2012

Expiration Date

03/31/2013

City

PORTAGE

State

Zip

46368

Ever Disciplined

LastModifiedDate

05/06/2013