RAQUEL A BRODER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100110

License Status

NOT RENEWED

Business

First Name

RAQUEL

Middle

Last Name

BRODER

Business Name

RAQUEL A BRODER

Original Issue Date

05/09/1992

Effective Date

05/09/1992

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005