BRADLEY M PHILLIPS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149414

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

Last Name

PHILLIPS

Business Name

BRADLEY M PHILLIPS

Original Issue Date

07/02/2003

Effective Date

07/02/2003

Expiration Date

03/31/2004

City

BEULAH

State

Zip

58523

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

10/20/2005