STEVEN L SOUKUP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127204

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

Last Name

SOUKUP

Business Name

STEVEN L SOUKUP

Original Issue Date

08/27/1999

Effective Date

08/27/1999

Expiration Date

03/31/2001

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/21/2005