Debra Shup
InactiveIllinois license 049070706
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049070706
- Status
- Inactive (Cancelled)
- First issued
- February 16, 1979
- Expired
- March 31, 1984
- License holder
- Debra Shup
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/16/1979
Contact
Granite City, IL 62040
Madison County