License holder summary

BERGSTROM ROBERT H is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for BERGSTROM ROBERT H is 1650 69TH ST LEMON GROVE CA 91945. This licensed professional license is not current. The license was granted 06/19/2003 and expired on 06/01/2009.

California

Department of Consumer Affairs

BERGSTROM ROBERT H
Pharmacy - Designated Representative (Exemptees)
License number
17042
Date granted
06/19/2003
Date expires
06/01/2009
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
1650 69TH ST LEMON GROVE CA 91945
californialicensing.org
ID 11668689
LAST UPDATED 2026-03-29 15:37:12 UTC

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