PATRICA A BRADSHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140271

License Status

NOT RENEWED

Business

First Name

PATRICA

Middle

Last Name

BRADSHAW

Business Name

PATRICA A BRADSHAW

Original Issue Date

01/18/2002

Effective Date

01/18/2002

Expiration Date

03/31/2003

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005