YAISHA NEO BROADNAX - Pharmacist License in Illinois | # 049260160

YAISHA NEO BROADNAX

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260160

License Status

NOT RENEWED

Business

N

First Name

YAISHA

Middle

NEO

Last Name

BROADNAX

Business Name

YAISHA NEO BROADNAX

Original Issue Date

09/26/2018

Effective Date

05/08/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021