MARK BRADLEY DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069729

License Status

NOT RENEWED

Business

First Name

MARK BRADLEY

Last Name

DAVIS

Business Name

MARK BRADLEY DAVIS

Original Issue Date

07/14/1978

Effective Date

07/14/1978

Expiration Date

01/01/1997

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005