TEQUILA BROUGHTON - Pharmacist License in Illinois | # 049219235

TEQUILA BROUGHTON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219235

License Status

NOT RENEWED

Business

N

First Name

TEQUILA

Last Name

BROUGHTON

Prefix

MR

Business Name

TEQUILA BROUGHTON

Original Issue Date

07/09/2013

Effective Date

03/04/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017