EUGENE R EBROM Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072074

License Status

CANCELLED

Business

First Name

EUGENE R

Last Name

EBROM

Business Name

EUGENE R EBROM

Original Issue Date

11/01/1979

Effective Date

11/01/1979

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005