DAVID BERGSMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261852

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

BERGSMA

Business Name

DAVID BERGSMA

Original Issue Date

12/04/2018

Effective Date

12/04/2018

Expiration Date

03/31/2019

City

WEST LAFAYETTE

State

Zip

47906

Ever Disciplined

LastModifiedDate

07/15/2019