MODENE BERGANTINO - Pharmacist License in Illinois | # 049072779

MODENE BERGANTINO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072779

License Status

NOT RENEWED

Business

N

First Name

MODENE

Last Name

BERGANTINO

Business Name

MODENE BERGANTINO

Original Issue Date

04/10/1980

Effective Date

04/10/1980

Expiration Date

03/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005