BRAD G BLACKWELL - Pharmacist License in California | # 051037169

BRAD G BLACKWELL

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051037169

License Status

INACTIVE

Business

N

First Name

BRAD G

Last Name

BLACKWELL

Business Name

BRAD G BLACKWELL

Original Issue Date

10/18/1988

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

CA

Ever Disciplined

N

LastModifiedDate

01/05/2010