JENNIFER BERGMAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051039951

License Status

INACTIVE

Business

First Name

JENNIFER

Last Name

BERGMAN

Business Name

JENNIFER BERGMAN

Original Issue Date

08/29/1994

Effective Date

03/12/2018

Expiration Date

09/30/2020

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/04/2020