BRADLEY COKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143679

License Status

NOT RENEWED

Business

First Name

BRADLEY

Last Name

COKER

Business Name

BRADLEY COKER

Original Issue Date

07/16/2002

Effective Date

07/16/2002

Expiration Date

03/31/2004

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005