Wilfred Broussard Jr
ExpiredIllinois license 049055656
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049055656
- Status
- Expired (Not Renewed)
- First issued
- January 1, 1997
- Expired
- January 1, 1997
- License holder
- Wilfred Broussard Jr
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
Other Illinois licenses under this name
-
IL
ExpiredPlano, TXExpired Mar 31, 2004
Contact
Chicago, IL 60616
Cook County