LARAE MAXWELL BRADFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246365

License Status

NOT RENEWED

Business

First Name

LARAE

Middle

MAXWELL

Last Name

BRADFORD

Business Name

LARAE MAXWELL BRADFORD

Original Issue Date

11/16/2016

Effective Date

11/16/2016

Expiration Date

03/31/2017

City

COLLEGE PARK

State

Zip

30349

County

GEORGIA

Ever Disciplined

LastModifiedDate

05/10/2017