JESSICA L BERGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206928

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

BERGNER

Prefix

Business Name

JESSICA L BERGNER

Original Issue Date

09/25/2011

Effective Date

09/25/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012