BRADLEY JAY ALBERTINA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131008

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

JAY

Last Name

ALBERTINA

Business Name

BRADLEY JAY ALBERTINA

Original Issue Date

06/01/2000

Effective Date

06/01/2000

Expiration Date

03/31/2002

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

12/06/2005