DANIEL BROIDA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196354

License Status

NOT RENEWED

Business

First Name

DANIEL

Last Name

BROIDA

Business Name

DANIEL BROIDA

Original Issue Date

01/21/2010

Effective Date

01/21/2010

Expiration Date

03/31/2011

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/12/2011