ALEXANDRA PAIGE WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263806

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

PAIGE

Last Name

WALLACE

Business Name

ALEXANDRA PAIGE WALLACE

Original Issue Date

03/20/2019

Effective Date

03/20/2019

Expiration Date

09/30/2020

City

ROSICLARE

State

Zip

62982

County

HARDIN

Ever Disciplined

LastModifiedDate

01/08/2021