DIANE M BERGMAN GOVIG - Pharmacist License in Illinois | # 049200807

DIANE M BERGMAN GOVIG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200807

License Status

NOT RENEWED

Business

N

First Name

DIANE

Middle

M

Last Name

BERGMAN GOVIG

Business Name

DIANE M BERGMAN GOVIG

Original Issue Date

09/30/2010

Effective Date

09/30/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011