TEQUILA BROUGHTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219235

License Status

NOT RENEWED

Business

First Name

TEQUILA

Last Name

BROUGHTON

Prefix

Business Name

TEQUILA BROUGHTON

Original Issue Date

07/09/2013

Effective Date

03/04/2016

Expiration Date

03/31/2017

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2017