ALISSA M SHOUP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131502

License Status

NOT RENEWED

Business

First Name

ALISSA

Middle

Last Name

SHOUP

Business Name

ALISSA M SHOUP

Original Issue Date

07/10/2000

Effective Date

07/10/2000

Expiration Date

03/31/2006

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/11/2006