SHANE M ZOUCHA - Pharmacist License in Nebraska | # 049162069

SHANE M ZOUCHA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162069

License Status

NOT RENEWED

Business

N

First Name

SHANE

Middle

M

Last Name

ZOUCHA

Business Name

SHANE M ZOUCHA

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

03/31/2006

State

NE

Ever Disciplined

N

LastModifiedDate

05/11/2006