ALEXA J CROSSMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158387

License Status

NOT RENEWED

Business

First Name

ALEXA

Middle

Last Name

CROSSMAN

Business Name

ALEXA J CROSSMAN

Original Issue Date

12/16/2004

Effective Date

01/11/2013

Expiration Date

03/31/2014

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/06/2014