CORETTA S BROADWAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166164

License Status

NOT RENEWED

Business

First Name

CORETTA

Middle

Last Name

BROADWAY

Business Name

CORETTA S BROADWAY

Original Issue Date

01/19/2006

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

05/14/2007