MARLEN L BERGMAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051039274

License Status

INACTIVE

Business

First Name

MARLEN L

Last Name

BERGMAN

Business Name

MARLEN L BERGMAN

Original Issue Date

08/07/1993

Effective Date

08/07/1993

Expiration Date

03/31/1996

City

KANSAS CITY

State

Zip

64151

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005