RANDALL E BERG Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031950

License Status

INACTIVE

Business

First Name

RANDALL E

Last Name

BERG

Business Name

RANDALL E BERG

Original Issue Date

11/21/1977

Effective Date

11/21/1977

Expiration Date

03/31/1996

City

EAU CLAIRE

State

Zip

54701

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005