SHANNON M SHOUP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199712

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

SHOUP

Business Name

SHANNON M SHOUP

Original Issue Date

08/02/2010

Effective Date

02/02/2016

Expiration Date

03/31/2017

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2017