BRAD WAYNE NELSON Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078096

License Status

CANCELLED

Business

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

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005