BRENDA DIANNE BROYLES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179829

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

DIANNE

Last Name

BROYLES

Business Name

BRENDA DIANNE BROYLES

Original Issue Date

10/09/2007

Effective Date

03/02/2009

Expiration Date

03/31/2010

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/04/2010