YAISHA NEO BROADNAX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260160

License Status

NOT RENEWED

Business

First Name

YAISHA

Middle

NEO

Last Name

BROADNAX

Business Name

YAISHA NEO BROADNAX

Original Issue Date

09/26/2018

Effective Date

05/08/2019

Expiration Date

09/30/2020

City

GLENWOOD

State

Zip

60425

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021