JENNIFER R BERGSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231438

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

BERGSTROM

Business Name

JENNIFER R BERGSTROM

Original Issue Date

03/02/2015

Effective Date

02/01/2018

Expiration Date

03/31/2019

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019