BRADLEY EUGENE MINNIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119089

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

EUGENE

Last Name

MINNIS

Business Name

BRADLEY EUGENE MINNIS

Original Issue Date

10/20/1997

Effective Date

10/20/1997

Expiration Date

03/31/1998

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005