ALEXSIA SHIANN VANDUSEN FUNDERBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049305978

License Status

NOT RENEWED

Business

First Name

ALEXSIA

Middle

SHIANN

Last Name

VANDUSEN FUNDERBERG

Business Name

ALEXSIA SHIANN VANDUSEN FUNDERBERG

Original Issue Date

09/21/2023

Effective Date

03/16/2024

Expiration Date

03/31/2025

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

07/08/2025