MICHAEL STOUT - Pharmacist License in Illinois | # 049077056

MICHAEL STOUT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077056

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Last Name

STOUT

Business Name

MICHAEL STOUT

Original Issue Date

09/02/1982

Effective Date

09/02/1982

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005