LISA KAY BROADDUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128952

License Status

NOT RENEWED

Business

First Name

LISA

Middle

KAY

Last Name

BROADDUS

Business Name

LISA KAY BROADDUS

Original Issue Date

01/14/2000

Effective Date

01/14/2000

Expiration Date

03/31/2001

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/21/2005