DEBRA AXE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215238

License Status

NOT RENEWED

Business

First Name

DEBRA

Last Name

AXE

Business Name

DEBRA AXE

Original Issue Date

01/01/2013

Effective Date

01/01/2013

Expiration Date

03/31/2014

City

ILLIOPOLIS

State

Zip

62539

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2014