ALEXANDRA L BROADUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132759

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

Last Name

BROADUS

Business Name

ALEXANDRA L BROADUS

Original Issue Date

09/20/2000

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2009