LAWRENCE A BERGMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051023914

License Status

NOT RENEWED

Business

First Name

LAWRENCE A

Last Name

BERGMAN

Business Name

LAWRENCE A BERGMAN

Original Issue Date

01/01/1997

Expiration Date

01/31/1982

City

MAPLE SHADE

State

Zip

08052

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/17/2005