Frederick E Broussard
ExpiredIllinois license 049220329
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049220329
- Status
- Expired (Not Renewed)
- First issued
- August 26, 2013
- Expired
- March 31, 2021
- License holder
- Frederick E Broussard
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/21/2020
Contact
Chicago, IL 60615
Cook County