SANDRA BERGMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071379

License Status

NOT RENEWED

Business

First Name

SANDRA

Last Name

BERGMAN

Business Name

SANDRA BERGMAN

Original Issue Date

06/22/1979

Effective Date

06/22/1979

Expiration Date

03/31/1988

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005