CHARLES WILKERSON CROUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116273

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

WILKERSON

Last Name

CROUT

Business Name

CHARLES WILKERSON CROUT

Original Issue Date

12/31/1996

Effective Date

12/31/1996

Expiration Date

03/31/2002

City

PINGREE GROVE

State

Zip

60140

Ever Disciplined

LastModifiedDate

12/06/2005