TRAVIS PIERRE BRAXTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261640

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

PIERRE

Last Name

BRAXTON

Business Name

TRAVIS PIERRE BRAXTON

Original Issue Date

11/30/2018

Effective Date

11/30/2018

Expiration Date

03/31/2019

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019