MODENE BERGANTINO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072779

License Status

NOT RENEWED

Business

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

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005