KIMBERLY ANN BERGERON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123645

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

BERGERON

Business Name

KIMBERLY ANN BERGERON

Original Issue Date

11/10/1998

Effective Date

11/10/1998

Expiration Date

03/31/1999

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005