ADAM L HERGENHAHN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126266

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

HERGENHAHN

Business Name

ADAM L HERGENHAHN

Original Issue Date

06/09/1999

Effective Date

06/09/1999

Expiration Date

03/31/2003

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

10/20/2005