LAVON M BRADLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103734

License Status

NOT RENEWED

Business

First Name

LAVON M

Last Name

BRADLEY

Business Name

LAVON M BRADLEY

Original Issue Date

06/15/1993

Effective Date

06/15/1993

Expiration Date

03/31/1995

City

PEORIA

State

Zip

61601

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005