HOLLY A BROUGHTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157988

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

BROUGHTON

Business Name

HOLLY A BROUGHTON

Original Issue Date

11/23/2004

Effective Date

11/23/2004

Expiration Date

03/31/2005

City

ROCHELLE

State

Zip

61068

County

OGLE

Ever Disciplined

LastModifiedDate

10/20/2005