RYAN DAVID BRODA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154743

License Status

NOT RENEWED

Business

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

City

WINFIELD

State

Zip

60190

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/20/2021