ALEXCIS MARIE BELLANCA-BROUCEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271230

License Status

NOT RENEWED

Business

First Name

ALEXCIS

Middle

MARIE

Last Name

BELLANCA-BROUCEK

Business Name

ALEXCIS MARIE BELLANCA-BROUCEK

Original Issue Date

02/25/2020

Effective Date

02/25/2020

Expiration Date

03/31/2021

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021