ALEXCIS MARIE BELLANCA-BROUCEK - Pharmacist License in Illinois | # 049271230

ALEXCIS MARIE BELLANCA-BROUCEK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271230

License Status

NOT RENEWED

Business

N

First Name

ALEXCIS

Middle

MARIE

Last Name

BELLANCA-BROUCEK

Business Name

ALEXCIS MARIE BELLANCA-BROUCEK

Original Issue Date

02/25/2020

Effective Date

02/25/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021