ALEXA F PRILLAMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125644

License Status

NOT RENEWED

Business

First Name

ALEXA

Middle

Last Name

PRILLAMAN

Business Name

ALEXA F PRILLAMAN

Original Issue Date

04/26/1999

Effective Date

04/26/1999

Expiration Date

03/31/2002

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/06/2005