A SUSAN BRADFORD Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085374

License Status

INACTIVE

Business

First Name

A SUSAN

Last Name

BRADFORD

Business Name

A SUSAN BRADFORD

Original Issue Date

10/07/1987

Effective Date

02/05/2009

Expiration Date

03/31/2010

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

01/12/2010