BRADLEY TAYLOR STOCKHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150178

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

TAYLOR

Last Name

STOCKHAM

Business Name

BRADLEY TAYLOR STOCKHAM

Original Issue Date

08/21/2003

Effective Date

08/21/2003

Expiration Date

03/31/2005

City

HAVANA

State

Zip

62644

County

MASON

Ever Disciplined

LastModifiedDate

10/20/2005