BRADLEY G MASOPUST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074284

License Status

NOT RENEWED

Business

First Name

BRADLEY G

Last Name

MASOPUST

Business Name

BRADLEY G MASOPUST

Original Issue Date

02/27/1981

Effective Date

02/27/1981

Expiration Date

03/31/2002

City

ELGIN

State

Zip

60120

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005