BRAD L THOMPSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051038713

License Status

INACTIVE

Business

First Name

BRAD

Middle

Last Name

THOMPSON

Business Name

BRAD L THOMPSON

Original Issue Date

12/09/1991

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

COLUMBIA

State

Zip

21044

Ever Disciplined

LastModifiedDate

01/18/2006