MADISON RAE BROADWELL Pharmacist License verification

MADISON RAE BROADWELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260548

License Status

NOT RENEWED

Business

First Name

MADISON

Middle

RAE

Last Name

BROADWELL

Business Name

MADISON RAE BROADWELL

Original Issue Date

10/10/2018

Effective Date

10/10/2018

Expiration Date

03/31/2019

City

CARTHAGE

State

Zip

62321

County

ADAMS

Ever Disciplined

LastModifiedDate

12/02/2022

Case Number

2020002698

Action

Refuse To Renew

Discipline Start Date

11/28/2022

Discipline Reason

pharmacy technician license placed in refuse to renew status for drug diversion and a misdemeanor conviction for attempt to obtain a controlled substance.