WALTER F BERGEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026841

License Status

NOT RENEWED

Business

First Name

WALTER F

Last Name

BERGEN

Business Name

WALTER F BERGEN

Original Issue Date

01/01/1997

Effective Date

02/25/2014

Expiration Date

03/31/2016

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/20/2016