DEBORAH ANN SOUKUP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068281

License Status

NOT RENEWED

Business

First Name

DEBORAH ANN

Last Name

SOUKUP

Business Name

DEBORAH ANN SOUKUP

Original Issue Date

10/14/1977

Effective Date

10/14/1977

Expiration Date

01/01/1997

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005