ALTHEA JOVAN BROADWAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125331

License Status

NOT RENEWED

Business

First Name

ALTHEA

Middle

JOVAN

Last Name

BROADWAY

Business Name

ALTHEA JOVAN BROADWAY

Original Issue Date

04/07/1999

Effective Date

04/07/1999

Expiration Date

03/31/2006

City

DADE CITY

State

Zip

33525

Ever Disciplined

LastModifiedDate

05/11/2006