ALISSA M SHOUP - Pharmacist License in Illinois | # 049131502

ALISSA M SHOUP

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131502

License Status

NOT RENEWED

Business

N

First Name

ALISSA

Middle

M

Last Name

SHOUP

Business Name

ALISSA M SHOUP

Original Issue Date

07/10/2000

Effective Date

07/10/2000

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006