BRADLEY WALLIS MORELAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116823

License Status

NOT RENEWED

Business

First Name

BRADLEY WALLIS

Last Name

MORELAND

Business Name

BRADLEY WALLIS MORELAND

Original Issue Date

03/17/1997

Effective Date

03/17/1997

Expiration Date

03/31/2002

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

12/06/2005