WILFRED BROUSSARD JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055656

License Status

NOT RENEWED

Business

First Name

WILFRED

Last Name

BROUSSARD JR

Business Name

WILFRED BROUSSARD JR

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005