ROSA A STOUT Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136579

License Status

ACTIVE

Business

First Name

ROSA

Middle

Last Name

STOUT

Business Name

ROSA A STOUT

Original Issue Date

06/05/2001

Effective Date

03/06/2026

Expiration Date

03/31/2027

City

ROCKFORD

State

Zip

61101

Ever Disciplined

LastModifiedDate

03/06/2026