DANIEL STEVEN BRADT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128102

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

STEVEN

Last Name

BRADT

Business Name

DANIEL STEVEN BRADT

Original Issue Date

11/04/1999

Effective Date

11/04/1999

Expiration Date

03/31/2000

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005