BRADLEY C MOSSMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102043

License Status

NOT RENEWED

Business

First Name

BRADLEY C

Last Name

MOSSMAN

Business Name

BRADLEY C MOSSMAN

Original Issue Date

12/23/1992

Effective Date

12/23/1992

Expiration Date

03/31/1994

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005