LARRY DU WAYNE BROTEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028233

License Status

INACTIVE

Business

First Name

LARRY DU WAYNE

Last Name

BROTEN

Business Name

LARRY DU WAYNE BROTEN

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

GALESBURG

State

Zip

49053

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/17/2005