BRADLEY ARIN RESTIVO MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190747

License Status

NOT RENEWED

Business

Title

First Name

BRADLEY

Middle

ARIN

Last Name

RESTIVO

Business Name

BRADLEY ARIN RESTIVO MD

Original Issue Date

04/07/2009

Effective Date

04/07/2009

Expiration Date

03/31/2010

City

MULKEYTOWN

State

Zip

62865

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/04/2010