KIRK A BERGMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081753

License Status

NOT RENEWED

Business

First Name

KIRK A

Last Name

BERGMAN

Business Name

KIRK A BERGMAN

Original Issue Date

10/01/1985

Effective Date

10/01/1985

Expiration Date

03/31/1993

City

LYONS

State

Zip

60534

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005