JAMES RUSSELL BROEDLOW Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027817

License Status

INACTIVE

Business

First Name

JAMES RUSSELL

Last Name

BROEDLOW

Business Name

JAMES RUSSELL BROEDLOW

Original Issue Date

01/01/1997

Effective Date

01/16/2018

Expiration Date

09/30/2020

City

STREATOR

State

Zip

61364

County

LA SALLE

Ever Disciplined

LastModifiedDate

01/04/2020