BRADLEY SCOTT RUSSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155347

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

SCOTT

Last Name

RUSSELL

Business Name

BRADLEY SCOTT RUSSELL

Original Issue Date

06/17/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/02/2008