DERRA R BRADLEY - Pharmacist License in Illinois | # 049165837

DERRA R BRADLEY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165837

License Status

NOT RENEWED

Business

N

First Name

DERRA

Middle

R

Last Name

BRADLEY

Business Name

DERRA R BRADLEY

Original Issue Date

12/29/2005

Effective Date

03/09/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016