TRISTAN KYLE Q BERGONIO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242137

License Status

NOT RENEWED

Business

First Name

TRISTAN KYLE

Middle

Last Name

BERGONIO

Prefix

Business Name

TRISTAN KYLE Q BERGONIO

Original Issue Date

05/31/2016

Effective Date

05/31/2016

Expiration Date

03/31/2017

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2017