BRAD G BLACKWELL Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051037169

License Status

INACTIVE

Business

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

City

SAN FRANCISCO

State

Zip

94105

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

01/05/2010