CONNIE L BERGMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068806

License Status

NOT RENEWED

Business

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

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/17/2005