MITCHELL J BRODERICK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211160

License Status

INACTIVE

Business

First Name

MITCHELL

Middle

Last Name

BRODERICK

Prefix

Business Name

MITCHELL J BRODERICK

Original Issue Date

05/18/2012

Effective Date

01/23/2017

Expiration Date

03/31/2018

City

BERWYN

State

Zip

60402

Ever Disciplined

LastModifiedDate

01/12/2018