BRADLEY EARLE BURTON Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059974

License Status

CANCELLED

Business

First Name

BRADLEY EARLE

Last Name

BURTON

Business Name

BRADLEY EARLE BURTON

Original Issue Date

07/27/1973

Effective Date

07/27/1973

Expiration Date

01/01/1997

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005