BRADLEY M JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060951

License Status

NOT RENEWED

Business

First Name

BRADLEY M

Last Name

JACKSON

Business Name

BRADLEY M JACKSON

Original Issue Date

02/11/1974

Effective Date

02/11/1974

Expiration Date

01/01/1997

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005