BRAD LEWIS SILL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147585

License Status

NOT RENEWED

Business

First Name

BRAD

Middle

LEWIS

Last Name

SILL

Business Name

BRAD LEWIS SILL

Original Issue Date

03/24/2003

Effective Date

03/24/2003

Expiration Date

03/31/2006

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

05/11/2006