BRAD A BRUCKNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106209

License Status

NOT RENEWED

Business

First Name

BRAD A

Last Name

BRUCKNER

Business Name

BRAD A BRUCKNER

Original Issue Date

03/10/1994

Effective Date

03/10/1994

Expiration Date

03/31/1997

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005