EMMA JANE BERGMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242788

License Status

NOT RENEWED

Business

First Name

EMMA

Middle

JANE

Last Name

BERGMAN

Business Name

EMMA JANE BERGMAN

Original Issue Date

06/28/2016

Effective Date

06/28/2016

Expiration Date

03/31/2017

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017