ALISSA M SHOUP Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290663

License Status

ACTIVE

Business

First Name

ALISSA

Middle

Last Name

SHOUP

Business Name

ALISSA M SHOUP

Original Issue Date

08/04/2005

Effective Date

03/26/2026

Expiration Date

03/31/2028

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/26/2026