KENT S SHOUP - Pharmacist License in Illinois | # 049193764

KENT S SHOUP

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193764

License Status

NOT RENEWED

Business

N

First Name

KENT

Middle

S

Last Name

SHOUP

Business Name

KENT S SHOUP

Original Issue Date

08/20/2009

Effective Date

01/10/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022