MEAGHAN ELIZABETH BERGMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145704

License Status

NOT RENEWED

Business

First Name

MEAGHAN

Middle

ELIZABETH

Last Name

BERGMAN

Business Name

MEAGHAN ELIZABETH BERGMAN

Original Issue Date

11/06/2002

Effective Date

11/06/2002

Expiration Date

03/31/2003

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/20/2005