DAVE WALTER BREDESON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134918

License Status

NOT RENEWED

Business

First Name

DAVE

Middle

WALTER

Last Name

BREDESON

Business Name

DAVE WALTER BREDESON

Original Issue Date

03/02/2001

Effective Date

03/02/2001

Expiration Date

03/31/2002

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

12/06/2005