DONALD A BERGEMANN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029133

License Status

INACTIVE

Business

First Name

DONALD A

Last Name

BERGEMANN

Business Name

DONALD A BERGEMANN

Original Issue Date

08/05/1972

Effective Date

02/14/2014

Expiration Date

03/31/2016

City

TARPON SPRINGS

State

Zip

34689

County

FLORIDA

Ever Disciplined

LastModifiedDate

01/28/2016