BRAD DETTMANN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065321

License Status

CANCELLED

Business

First Name

BRAD

Last Name

DETTMANN

Business Name

BRAD DETTMANN

Original Issue Date

05/14/1976

Effective Date

05/14/1976

Expiration Date

01/01/1997

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

10/17/2005