TINA L BERGSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080477

License Status

NOT RENEWED

Business

First Name

TINA L

Last Name

BERGSTROM

Business Name

TINA L BERGSTROM

Original Issue Date

11/26/1984

Effective Date

11/26/1984

Expiration Date

03/31/1986

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

10/17/2005