BRADLEY J FUGATE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109769

License Status

NOT RENEWED

Business

First Name

BRADLEY J

Last Name

FUGATE

Business Name

BRADLEY J FUGATE

Original Issue Date

03/09/1995

Effective Date

03/09/1995

Expiration Date

03/31/2000

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

10/21/2005