LEO SOUKUP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051019994

License Status

NOT RENEWED

Business

First Name

LEO

Last Name

SOUKUP

Business Name

LEO SOUKUP

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

TITUSVILLE

State

Zip

32780

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/17/2005