AMANDA CHRISTINE BROADUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205606

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

CHRISTINE

Last Name

BROADUS

Business Name

AMANDA CHRISTINE BROADUS

Original Issue Date

07/26/2011

Effective Date

02/13/2015

Expiration Date

03/31/2016

City

UTICA

State

Zip

61373

County

OGLE

Ever Disciplined

LastModifiedDate

05/20/2016