WAYNE O FOUTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073709

License Status

NOT RENEWED

Business

First Name

WAYNE O

Last Name

FOUTS

Business Name

WAYNE O FOUTS

Original Issue Date

10/10/1980

Effective Date

10/10/1980

Expiration Date

03/31/2004

City

GIRARD

State

Zip

62640

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/20/2005