ALEXIS IZETA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155434

License Status

NOT RENEWED

Business

First Name

ALEXIS

Last Name

IZETA

Business Name

ALEXIS IZETA

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005