JEAN M STOUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098602

License Status

NOT RENEWED

Business

First Name

JEAN M

Last Name

STOUT

Business Name

JEAN M STOUT

Original Issue Date

11/06/1991

Effective Date

11/06/1991

Expiration Date

03/31/1993

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005