CLARESTA L BERGMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142884

License Status

NOT RENEWED

Business

First Name

CLARESTA

Middle

Last Name

BERGMAN

Business Name

CLARESTA L BERGMAN

Original Issue Date

06/03/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60657

Ever Disciplined

LastModifiedDate

05/02/2008