BRADFORD J RAVER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178582

License Status

NOT RENEWED

Business

First Name

BRADFORD

Middle

Last Name

RAVER

Business Name

BRADFORD J RAVER

Original Issue Date

08/20/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

EUREKA

State

Zip

61530

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/06/2009