THEODORE J BEREI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179827

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

Last Name

BEREI

Business Name

THEODORE J BEREI

Original Issue Date

10/09/2007

Effective Date

02/19/2014

Expiration Date

03/31/2015

City

MADISON

State

Zip

53718

Ever Disciplined

LastModifiedDate

05/11/2015