ALEXIS IZETA - Pharmacist License in Illinois | # 049155434

ALEXIS IZETA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155434

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005