RENA K STOUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063352

License Status

NOT RENEWED

Business

First Name

RENA K

Last Name

STOUT

Business Name

RENA K STOUT

Original Issue Date

04/25/1975

Effective Date

04/25/1975

Expiration Date

01/01/1997

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/17/2005