ALEXIS SIELSCHOTT LEVAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210011

License Status

INACTIVE

Business

First Name

ALEXIS

Middle

SIELSCHOTT

Last Name

LEVAN

Business Name

ALEXIS SIELSCHOTT LEVAN

Original Issue Date

03/29/2012

Effective Date

01/10/2020

Expiration Date

03/31/2021

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

01/10/2021