DERRA R BRADLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165837

License Status

NOT RENEWED

Business

First Name

DERRA

Middle

Last Name

BRADLEY

Business Name

DERRA R BRADLEY

Original Issue Date

12/29/2005

Effective Date

03/09/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016