BRYAN SCOTT BERGESON - Pharmacist License in Illinois | # 049156291

BRYAN SCOTT BERGESON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156291

License Status

NOT RENEWED

Business

N

First Name

BRYAN

Middle

SCOTT

Last Name

BERGESON

Business Name

BRYAN SCOTT BERGESON

Original Issue Date

07/29/2004

Effective Date

07/29/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006