BRADLEY LYNN EICKHOFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175296

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

LYNN

Last Name

EICKHOFF

Business Name

BRADLEY LYNN EICKHOFF

Original Issue Date

04/03/2007

Effective Date

04/03/2007

Expiration Date

03/31/2008

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

05/02/2008