CORETTA S BROADWAY - Pharmacist License in Illinois | # 049166164

CORETTA S BROADWAY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166164

License Status

NOT RENEWED

Business

N

First Name

CORETTA

Middle

S

Last Name

BROADWAY

Business Name

CORETTA S BROADWAY

Original Issue Date

01/19/2006

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007