DIANA BRADSHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075173

License Status

NOT RENEWED

Business

First Name

DIANA

Last Name

BRADSHAW

Business Name

DIANA BRADSHAW

Original Issue Date

08/17/1981

Effective Date

03/05/2009

Expiration Date

03/31/2010

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/04/2010