ANGIE M SCHUCKENBROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130399

License Status

NOT RENEWED

Business

First Name

ANGIE

Middle

Last Name

SCHUCKENBROCK

Business Name

ANGIE M SCHUCKENBROCK

Original Issue Date

04/05/2000

Effective Date

04/05/2000

Expiration Date

03/31/2002

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

12/06/2005