JOAN M STOUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078494

License Status

NOT RENEWED

Business

First Name

JOAN M

Last Name

STOUT

Business Name

JOAN M STOUT

Original Issue Date

06/24/1983

Effective Date

06/24/1983

Expiration Date

03/31/1993

City

HUNTLEY

State

Zip

60142

Ever Disciplined

LastModifiedDate

10/17/2005