LAVAUGHN J BRADEN - Pharmacist License in Illinois | # 049073585

LAVAUGHN J BRADEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073585

License Status

NOT RENEWED

Business

N

First Name

LAVAUGHN J

Last Name

BRADEN

Business Name

LAVAUGHN J BRADEN

Original Issue Date

09/19/1980

Effective Date

09/19/1980

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005