ALEXUS SHANICE TRAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255925

License Status

NOT RENEWED

Business

First Name

ALEXUS

Middle

SHANICE

Last Name

TRAVIS

Business Name

ALEXUS SHANICE TRAVIS

Original Issue Date

02/01/2018

Effective Date

02/01/2018

Expiration Date

03/31/2019

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/15/2019