ALEXIS ELIZABETH WORTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258028

License Status

NOT RENEWED

Business

First Name

ALEXIS

Middle

ELIZABETH

Last Name

WORTMAN

Business Name

ALEXIS ELIZABETH WORTMAN

Original Issue Date

05/17/2018

Effective Date

05/17/2018

Expiration Date

03/31/2019

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019