BRADIE M LASHBROOK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257104

License Status

NOT RENEWED

Business

First Name

BRADIE

Middle

Last Name

LASHBROOK

Business Name

BRADIE M LASHBROOK

Original Issue Date

03/29/2018

Effective Date

03/29/2018

Expiration Date

03/31/2019

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/15/2019