GREGORY A BERGMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155420

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

BERGMAN

Business Name

GREGORY A BERGMAN

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

03/31/2005

City

WACONIA

State

Zip

55387

Ever Disciplined

LastModifiedDate

10/20/2005