ROBERT KENNETH BROADWATER II - Pharmacist License in Illinois | # 049294579

ROBERT KENNETH BROADWATER II

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049294579

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/07/2023