Madison Rae Broadwell
Revoked or deniedIllinois license 049260548
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049260548
- Status
- Revoked or denied (Refuse To Renew)
- First issued
- October 10, 2018
- Expired
- March 31, 2019
- License holder
- Madison Rae Broadwell
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 10/10/2018
- Ever disciplined
- Yes
- Discipline case
- 2020002698
- Discipline action
- Refuse To Renew
- Discipline reason
- Pharmacy Technician License Placed in Refuse to Renew Status for Drug Diversion and A Misdemeanor Conviction for Attempt to Obtain A Controlled Substance.
- Discipline dates
- 11/28/2022
Contact
Carthage, IL 62321
Adams County