THOMAS FREDERICK BERG Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051034588

License Status

INACTIVE

Business

First Name

THOMAS FREDERICK

Last Name

BERG

Business Name

THOMAS FREDERICK BERG

Original Issue Date

11/18/1982

Effective Date

11/18/1982

Expiration Date

03/31/1992

City

BROOKINGS

State

Zip

57006

County

SOUTH DAKOTA

Ever Disciplined

LastModifiedDate

10/17/2005