KELLE S BERGGREN MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100945

License Status

NOT RENEWED

Business

Title

First Name

KELLE

Middle

Last Name

BERGGREN

Business Name

KELLE S BERGGREN MD

Original Issue Date

08/10/1992

Effective Date

08/10/1992

Expiration Date

03/31/1997

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005