ROBERT KENNETH BROADWATER II Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049294579

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

KENNETH

Last Name

BROADWATER II

Business Name

ROBERT KENNETH BROADWATER II

Original Issue Date

08/03/2022

Effective Date

08/03/2022

Expiration Date

03/31/2023

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2023