KEVIN MICHEAL BROUGHTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242668

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

MICHEAL

Last Name

BROUGHTON

Business Name

KEVIN MICHEAL BROUGHTON

Original Issue Date

06/24/2016

Effective Date

01/16/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019