JESSICA L BERGMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049243413

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

BERGMAN

Business Name

JESSICA L BERGMAN

Original Issue Date

07/20/2016

Effective Date

02/13/2018

Expiration Date

03/31/2019

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/15/2019