MICHAEL STOUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077056

License Status

NOT RENEWED

Business

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

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005