LOIS ANN STOUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125475

License Status

NOT RENEWED

Business

First Name

LOIS

Middle

ANN

Last Name

STOUT

Business Name

LOIS ANN STOUT

Original Issue Date

04/15/1999

Effective Date

04/15/1999

Expiration Date

03/31/2001

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005