NICOLE JANINE STOUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121747

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

JANINE

Last Name

STOUT

Business Name

NICOLE JANINE STOUT

Original Issue Date

06/25/1998

Effective Date

06/25/1998

Expiration Date

03/31/2001

City

SHOREWOOD

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

10/21/2005