BRAD WAYNE NELSON - Pharmacist License in Illinois | # 049078096

BRAD WAYNE NELSON

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078096

License Status

CANCELLED

Business

N

First Name

BRAD WAYNE

Last Name

NELSON

Business Name

BRAD WAYNE NELSON

Original Issue Date

03/31/1983

Effective Date

03/31/1983

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005