ALEXA JUSTINE STALEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049281660

License Status

NOT RENEWED

Business

First Name

ALEXA

Middle

JUSTINE

Last Name

STALEY

Business Name

ALEXA JUSTINE STALEY

Original Issue Date

04/19/2021

Effective Date

04/19/2021

Expiration Date

05/31/2022

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

07/27/2022