ALEXIS JANE SURRATT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049270493

License Status

NOT RENEWED

Business

First Name

ALEXIS

Middle

JANE

Last Name

SURRATT

Business Name

ALEXIS JANE SURRATT

Original Issue Date

01/22/2020

Effective Date

03/10/2023

Expiration Date

03/31/2024

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/03/2025