HOLLY A BERGMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220037

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

BERGMAN

Business Name

HOLLY A BERGMAN

Original Issue Date

08/15/2013

Effective Date

03/04/2019

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62301

County

LOGAN

Ever Disciplined

LastModifiedDate

01/08/2021