TRAVIS PIERRE BRAXTON - Pharmacist License in Illinois | # 049261640

TRAVIS PIERRE BRAXTON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261640

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019