FREDERICK E BROUSSARD - Pharmacist License in Illinois | # 049220329

FREDERICK E BROUSSARD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220329

License Status

NOT RENEWED

Business

N

First Name

FREDERICK

Middle

E

Last Name

BROUSSARD

Prefix

MR

Business Name

FREDERICK E BROUSSARD

Original Issue Date

08/26/2013

Effective Date

01/21/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021