PATRICK J BERGMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141304

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

Last Name

BERGMAN

Business Name

PATRICK J BERGMAN

Original Issue Date

03/11/2002

Effective Date

03/11/2002

Expiration Date

03/31/2003

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005