DOUG T BRADLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129789

License Status

NOT RENEWED

Business

First Name

DOUG

Middle

Last Name

BRADLE

Business Name

DOUG T BRADLE

Original Issue Date

03/07/2000

Effective Date

03/07/2000

Expiration Date

03/31/2002

City

SECOR

State

Zip

61771

County

WOODFORD

Ever Disciplined

LastModifiedDate

12/06/2005