BRADLEY R BERBERET Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135357

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

Last Name

BERBERET

Business Name

BRADLEY R BERBERET

Original Issue Date

03/21/2001

Effective Date

03/21/2001

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006