FREDA D BROADWAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238065

License Status

NOT RENEWED

Business

First Name

FREDA

Middle

Last Name

BROADWAY

Business Name

FREDA D BROADWAY

Original Issue Date

12/01/2015

Effective Date

03/16/2017

Expiration Date

03/31/2018

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

06/19/2018