ELIZABETH A SOUKUP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201207

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

SOUKUP

Prefix

Business Name

ELIZABETH A SOUKUP

Original Issue Date

10/24/2010

Effective Date

10/24/2010

Expiration Date

03/31/2011

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/12/2011