SUSAN LYNN BRODERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262274

License Status

NOT RENEWED

Business

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

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022