KURTIS R BRODERICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095622

License Status

NOT RENEWED

Business

First Name

KURTIS R

Last Name

BRODERICK

Business Name

KURTIS R BRODERICK

Original Issue Date

01/22/1991

Effective Date

01/22/1991

Expiration Date

03/31/1993

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

10/17/2005