DEASIA J BROUGHTON - Pharmacist License in Illinois | # 049214579

DEASIA J BROUGHTON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214579

License Status

NOT RENEWED

Business

N

First Name

DEASIA

Middle

J

Last Name

BROUGHTON

Prefix

MR

Business Name

DEASIA J BROUGHTON

Original Issue Date

11/15/2012

Effective Date

11/15/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013