ANDREW VINCENT DAXENBICHLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260889

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

VINCENT

Last Name

DAXENBICHLER

Business Name

ANDREW VINCENT DAXENBICHLER

Original Issue Date

10/24/2018

Effective Date

01/09/2020

Expiration Date

03/31/2021

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

07/20/2021