ALEXANDRA BUKSOVA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156889

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Last Name

BUKSOVA

Business Name

ALEXANDRA BUKSOVA

Original Issue Date

08/25/2004

Effective Date

01/28/2011

Expiration Date

03/31/2012

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/07/2012