BRAD A NELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203725

License Status

NOT RENEWED

Business

First Name

BRAD

Middle

Last Name

NELSON

Business Name

BRAD A NELSON

Original Issue Date

04/18/2011

Effective Date

04/23/2012

Expiration Date

03/31/2013

City

LACON

State

Zip

61540

County

MARSHALL

Ever Disciplined

LastModifiedDate

05/06/2013