NANCY J BERGSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074457

License Status

NOT RENEWED

Business

First Name

NANCY J

Last Name

BERGSTROM

Business Name

NANCY J BERGSTROM

Original Issue Date

04/10/1981

Effective Date

04/10/1981

Expiration Date

03/31/1984

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005