ANDREA N BERGEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051299632

License Status

INACTIVE

Business

First Name

ANDREA

Middle

Last Name

BERGEN

Prefix

Business Name

ANDREA N BERGEN

Original Issue Date

07/29/2016

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

NEW YORK

State

Zip

10018

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/04/2020