Modene Bergantino
ExpiredIllinois license 049072779
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049072779
- Status
- Expired (Not Renewed)
- First issued
- April 10, 1980
- Expired
- March 31, 1986
- License holder
- Modene Bergantino
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/10/1980
Contact
Northlake, IL 60164
Cook County