JUSTIN A BERGUNDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207704

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

Last Name

BERGUNDER

Business Name

JUSTIN A BERGUNDER

Original Issue Date

11/08/2011

Effective Date

03/26/2015

Expiration Date

03/31/2016

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

05/20/2016