DIANA L BERGMAN - Pharmacist License in Illinois | # 049058231

DIANA L BERGMAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058231

License Status

NOT RENEWED

Business

N

First Name

DIANA L

Last Name

BERGMAN

Business Name

DIANA L BERGMAN

Original Issue Date

08/22/1972

Effective Date

08/22/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005