BRAD A MUSHILL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142988

License Status

NOT RENEWED

Business

First Name

BRAD

Middle

Last Name

MUSHILL

Business Name

BRAD A MUSHILL

Original Issue Date

06/04/2002

Effective Date

04/04/2017

Expiration Date

03/31/2018

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

06/19/2018