DONALD A BERGEMANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053905

License Status

NOT RENEWED

Business

First Name

DONALD A

Last Name

BERGEMANN

Business Name

DONALD A BERGEMANN

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/17/2005