JULIE A BERGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115380

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

Last Name

BERGAN

Business Name

JULIE A BERGAN

Original Issue Date

09/26/1996

Effective Date

09/26/1996

Expiration Date

03/31/2005

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005