STACEY L BROSHOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077579

License Status

NOT RENEWED

Business

First Name

STACEY L

Last Name

BROSHOW

Business Name

STACEY L BROSHOW

Original Issue Date

12/27/1982

Effective Date

12/27/1982

Expiration Date

03/31/1984

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005