BEVERLY BROOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069145

License Status

NOT RENEWED

Business

First Name

BEVERLY

Last Name

BROOM

Business Name

BEVERLY BROOM

Original Issue Date

04/14/1978

Effective Date

04/14/1978

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005