KENT S SHOUP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193764

License Status

NOT RENEWED

Business

First Name

KENT

Middle

Last Name

SHOUP

Business Name

KENT S SHOUP

Original Issue Date

08/20/2009

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022