AMY ELIZABETH SOUKUP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161994

License Status

NOT RENEWED

Business

First Name

AMY

Middle

ELIZABETH

Last Name

SOUKUP

Business Name

AMY ELIZABETH SOUKUP

Original Issue Date

06/29/2005

Effective Date

03/19/2014

Expiration Date

03/31/2015

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/11/2015