BRADY T DANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245534

License Status

NOT RENEWED

Business

First Name

BRADY

Middle

Last Name

DANE

Business Name

BRADY T DANE

Original Issue Date

10/19/2016

Effective Date

03/27/2017

Expiration Date

03/31/2018

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/19/2018