AMY THERESA BRADLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107256

License Status

NOT RENEWED

Business

First Name

AMY

Middle

THERESA

Last Name

BRADLE

Business Name

AMY THERESA BRADLE

Original Issue Date

06/21/1994

Effective Date

02/23/2010

Expiration Date

03/31/2011

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/12/2011