MEGAN MARIE BERGSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175515

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

MARIE

Last Name

BERGSTROM

Business Name

MEGAN MARIE BERGSTROM

Original Issue Date

04/11/2007

Effective Date

04/11/2007

Expiration Date

03/31/2008

City

OMAHA

State

Zip

68164

County

NEBRASKA

Ever Disciplined

LastModifiedDate

05/02/2008