MARJORIE A BROUTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049052218

License Status

NOT RENEWED

Business

First Name

MARJORIE A

Last Name

BROUTIN

Business Name

MARJORIE A BROUTIN

Original Issue Date

01/01/1997

Expiration Date

03/31/1992

City

LOVINGTON

State

Zip

61937

County

MOULTRIE

Ever Disciplined

LastModifiedDate

10/17/2005