AUDRA M BRADFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194647

License Status

NOT RENEWED

Business

First Name

AUDRA

Middle

Last Name

BRADFORD

Business Name

AUDRA M BRADFORD

Original Issue Date

10/05/2009

Effective Date

10/05/2009

Expiration Date

03/31/2010

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/04/2010