BRODERICK L BOOTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161613

License Status

NOT RENEWED

Business

First Name

BRODERICK

Middle

Last Name

BOOTH

Business Name

BRODERICK L BOOTH

Original Issue Date

06/09/2005

Effective Date

06/09/2005

Expiration Date

03/31/2006

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006