THOMAS EDWARD BERGQUIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049052717

License Status

NOT RENEWED

Business

First Name

THOMAS EDWARD

Last Name

BERGQUIST

Business Name

THOMAS EDWARD BERGQUIST

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005