PETER G BERGEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171221

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

BERGEN

Business Name

PETER G BERGEN

Original Issue Date

09/12/2006

Effective Date

09/12/2006

Expiration Date

03/31/2007

City

IOWA CITY

State

Zip

52246

County

IOWA

Ever Disciplined

LastModifiedDate

05/14/2007