ANDREA N BERGEN - Pharmacist License in New York | # 051299632

ANDREA N BERGEN

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051299632

License Status

INACTIVE

Business

N

First Name

ANDREA

Middle

N

Last Name

BERGEN

Prefix

MR

Business Name

ANDREA N BERGEN

Original Issue Date

07/29/2016

Effective Date

01/12/2018

Expiration Date

09/30/2020

State

NY

Ever Disciplined

N

LastModifiedDate

01/04/2020