FREDERICK E BROUSSARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220329

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

Last Name

BROUSSARD

Prefix

Business Name

FREDERICK E BROUSSARD

Original Issue Date

08/26/2013

Effective Date

01/21/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021