BRADLEY C SPIETH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142444

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

Last Name

SPIETH

Business Name

BRADLEY C SPIETH

Original Issue Date

05/14/2002

Effective Date

05/14/2002

Expiration Date

03/31/2004

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/20/2005