ALEXIS NICHOLE BOETTA - Pharmacist License in Illinois | # 049267966

ALEXIS NICHOLE BOETTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267966

License Status

NOT RENEWED

Business

N

First Name

ALEXIS

Middle

NICHOLE

Last Name

BOETTA

Business Name

ALEXIS NICHOLE BOETTA

Original Issue Date

09/20/2019

Effective Date

09/20/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021