DEBRA SHUP - Pharmacist License in Illinois | # 049070706

DEBRA SHUP

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070706

License Status

CANCELLED

Business

N

First Name

DEBRA

Last Name

SHUP

Business Name

DEBRA SHUP

Original Issue Date

02/16/1979

Effective Date

02/16/1979

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005