TRAVIS MICHAEL MCBROOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049233974

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

MICHAEL

Last Name

MCBROOM

Business Name

TRAVIS MICHAEL MCBROOM

Original Issue Date

06/23/2015

Effective Date

06/23/2015

Expiration Date

03/31/2016

City

FORT WAYNE

State

Zip

46815

County

INDIANA

Ever Disciplined

LastModifiedDate

05/20/2016