MIKE P BRODERICK - Pharmacist License in Illinois | # 049135119

MIKE P BRODERICK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135119

License Status

NOT RENEWED

Business

N

First Name

MIKE

Middle

P

Last Name

BRODERICK

Business Name

MIKE P BRODERICK

Original Issue Date

03/13/2001

Effective Date

03/13/2001

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005