MOLLY JO BERGMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212819

License Status

NOT RENEWED

Business

First Name

MOLLY

Middle

Last Name

BERGMAN

Prefix

Business Name

MOLLY JO BERGMAN

Original Issue Date

08/12/2012

Effective Date

02/22/2016

Expiration Date

03/31/2017

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

05/10/2017