ROYAL L BRADDIX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116385

License Status

NOT RENEWED

Business

First Name

ROYAL

Middle

Last Name

BRADDIX

Business Name

ROYAL L BRADDIX

Original Issue Date

01/30/1997

Effective Date

01/30/1997

Expiration Date

03/31/1998

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005