DANIEL J BRODERICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100369

License Status

NOT RENEWED

Business

First Name

DANIEL J

Last Name

BRODERICK

Business Name

DANIEL J BRODERICK

Original Issue Date

06/11/1992

Effective Date

02/02/2017

Expiration Date

03/31/2018

City

CRESTWOOD

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018