ALEXIS NICHOLE BOETTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267966

License Status

NOT RENEWED

Business

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

City

BUNKER HILL

State

Zip

62014

County

MACOUPIN

Ever Disciplined

LastModifiedDate

01/08/2021