BRYSEN DOUGHTY - Pharmacist License in Illinois | # 049268428

BRYSEN DOUGHTY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268428

License Status

NOT RENEWED

Business

N

First Name

BRYSEN

Last Name

DOUGHTY

Business Name

BRYSEN DOUGHTY

Original Issue Date

10/11/2019

Effective Date

10/11/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021