EVELYN J BRADSHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148054

License Status

NOT RENEWED

Business

First Name

EVELYN

Middle

Last Name

BRADSHAW

Business Name

EVELYN J BRADSHAW

Original Issue Date

04/16/2003

Effective Date

04/16/2003

Expiration Date

03/31/2004

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005