NATHANEAL BRADLEY FARNWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263996

License Status

NOT RENEWED

Business

First Name

NATHANEAL

Middle

BRADLEY

Last Name

FARNWORTH

Business Name

NATHANEAL BRADLEY FARNWORTH

Original Issue Date

04/04/2019

Effective Date

01/22/2020

Expiration Date

03/31/2021

City

COLLINSVILLE

State

Zip

62234

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/20/2021