CAROLE J BERGMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082787

License Status

NOT RENEWED

Business

First Name

CAROLE J

Last Name

BERGMAN

Business Name

CAROLE J BERGMAN

Original Issue Date

06/10/1986

Effective Date

06/10/1986

Expiration Date

03/31/1992

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005