ALEXI BIANCA BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271631

License Status

NOT RENEWED

Business

First Name

ALEXI

Middle

BIANCA

Last Name

BLACK

Business Name

ALEXI BIANCA BLACK

Original Issue Date

03/20/2020

Effective Date

03/20/2020

Expiration Date

03/31/2021

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/20/2021