SHANE M ZOUCHA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162069

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

Last Name

ZOUCHA

Business Name

SHANE M ZOUCHA

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

03/31/2006

City

OMAHA

State

Zip

68132

County

NEBRASKA

Ever Disciplined

LastModifiedDate

05/11/2006