AMBER NICOLE SOUBA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146795

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

NICOLE

Last Name

SOUBA

Business Name

AMBER NICOLE SOUBA

Original Issue Date

01/23/2003

Effective Date

03/10/2017

Expiration Date

03/31/2018

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

06/19/2018