Kellie N Bergstrom
ExpiredIllinois license 049128202
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049128202
- Status
- Expired (Not Renewed)
- First issued
- November 15, 1999
- Expired
- March 31, 2007
- License holder
- Kellie N Bergstrom
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/19/2006
Contact
Pell Lake, WI 53157
Wisconsin County