CONNIE L BERGMAN - Pharmacist License in Illinois | # 049068806

CONNIE L BERGMAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068806

License Status

NOT RENEWED

Business

N

First Name

CONNIE L

Last Name

BERGMAN

Business Name

CONNIE L BERGMAN

Original Issue Date

02/10/1978

Effective Date

02/10/1978

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005