ALEXANDRA JANE STUCKEMEYER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238862

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

JANE

Last Name

STUCKEMEYER

Business Name

ALEXANDRA JANE STUCKEMEYER

Original Issue Date

01/12/2016

Effective Date

04/03/2017

Expiration Date

03/31/2018

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/19/2018