RYAN DAVID BRODA - Pharmacist License in Illinois | # 049154743

RYAN DAVID BRODA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154743

License Status

NOT RENEWED

Business

N

First Name

RYAN

Middle

DAVID

Last Name

BRODA

Business Name

RYAN DAVID BRODA

Original Issue Date

06/02/2004

Effective Date

02/13/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021