FREDERICA BROADNAX - Pharmacist License in Illinois | # 049059514

FREDERICA BROADNAX

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059514

License Status

NOT RENEWED

Business

N

First Name

FREDERICA

Last Name

BROADNAX

Business Name

FREDERICA BROADNAX

Original Issue Date

05/18/1973

Effective Date

05/18/1973

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005