NILLSON BRADDOCK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051021538

License Status

INACTIVE

Business

First Name

NILLSON

Last Name

BRADDOCK

Business Name

NILLSON BRADDOCK

Original Issue Date

01/01/1997

Expiration Date

03/31/1998

City

MT. VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/17/2005