PHILIP R SOUKUP - Pharmacist License in Illinois | # 049111809

PHILIP R SOUKUP

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111809

License Status

NOT RENEWED

Business

N

First Name

PHILIP R

Last Name

SOUKUP

Business Name

PHILIP R SOUKUP

Original Issue Date

09/19/1995

Effective Date

02/09/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022