RAYPHEAL A BROADWAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182587

License Status

NOT RENEWED

Business

First Name

RAYPHEAL

Middle

Last Name

BROADWAY

Business Name

RAYPHEAL A BROADWAY

Original Issue Date

03/05/2008

Effective Date

03/09/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

05/05/2010