MARY A BRDICKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051038707

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

BRDICKA

Business Name

MARY A BRDICKA

Original Issue Date

12/09/1991

Effective Date

12/09/1991

Expiration Date

03/31/1994

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005