TANDRA S BROADWAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208620

License Status

NOT RENEWED

Business

First Name

TANDRA

Middle

Last Name

BROADWAY

Business Name

TANDRA S BROADWAY

Original Issue Date

01/09/2012

Effective Date

01/28/2013

Expiration Date

03/31/2014

City

CRETE

State

Zip

60417

County

WILL

Ever Disciplined

LastModifiedDate

05/06/2014