PHILIP R SOUKUP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111809

License Status

NOT RENEWED

Business

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

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/27/2022