CHARLOTTE BROMBOLICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057547

License Status

NOT RENEWED

Business

First Name

CHARLOTTE

Last Name

BROMBOLICH

Business Name

CHARLOTTE BROMBOLICH

Original Issue Date

04/01/1972

Effective Date

04/01/1972

Expiration Date

01/01/1997

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005