ALEXANDRA R SHELLSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207237

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

Last Name

SHELLSTROM

Business Name

ALEXANDRA R SHELLSTROM

Original Issue Date

10/11/2011

Effective Date

02/22/2020

Expiration Date

03/31/2021

City

ROCKFORD

State

Zip

61109

Ever Disciplined

LastModifiedDate

07/20/2021