DOUGLAS R BERGMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097223

License Status

NOT RENEWED

Business

First Name

DOUGLAS R

Last Name

BERGMAN

Business Name

DOUGLAS R BERGMAN

Original Issue Date

06/18/1991

Effective Date

06/18/1991

Expiration Date

03/31/1994

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005