BRENDA JEAN CHUPP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076157

License Status

NOT RENEWED

Business

First Name

BRENDA JEAN

Last Name

CHUPP

Business Name

BRENDA JEAN CHUPP

Original Issue Date

03/12/1982

Effective Date

03/12/1982

Expiration Date

03/31/1987

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/17/2005