BRADFORD P NYSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075639

License Status

NOT RENEWED

Business

First Name

BRADFORD P

Last Name

NYSTROM

Business Name

BRADFORD P NYSTROM

Original Issue Date

11/16/1981

Effective Date

11/16/1981

Expiration Date

03/31/1984

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005