MIKE P BRODERICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135119

License Status

NOT RENEWED

Business

First Name

MIKE

Middle

Last Name

BRODERICK

Business Name

MIKE P BRODERICK

Original Issue Date

03/13/2001

Effective Date

03/13/2001

Expiration Date

03/31/2004

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005