SUSAN LYNN BRODERSEN - Pharmacist License in Illinois | # 049262274

SUSAN LYNN BRODERSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262274

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Middle

LYNN

Last Name

BRODERSEN

Business Name

SUSAN LYNN BRODERSEN

Original Issue Date

12/19/2018

Effective Date

04/26/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022