MARY V BROADDUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096598

License Status

NOT RENEWED

Business

First Name

MARY V

Last Name

BROADDUS

Business Name

MARY V BROADDUS

Original Issue Date

04/22/1991

Effective Date

04/22/1991

Expiration Date

03/31/1997

City

GIBSON CITY

State

Zip

60936

County

FORD

Ever Disciplined

LastModifiedDate

10/17/2005