SCOTT JOSEPH BERGMAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051291277

License Status

INACTIVE

Business

First Name

SCOTT

Middle

JOSEPH

Last Name

BERGMAN

Business Name

SCOTT JOSEPH BERGMAN

Original Issue Date

08/01/2006

Effective Date

03/15/2016

Expiration Date

03/31/2018

City

ELKHORN

State

Zip

68022

County

DOUGLAS

Ever Disciplined

LastModifiedDate

01/12/2018