TRICIA KATHERINE STOUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160912

License Status

NOT RENEWED

Business

First Name

TRICIA

Middle

KATHERINE

Last Name

STOUT

Business Name

TRICIA KATHERINE STOUT

Original Issue Date

05/09/2005

Effective Date

05/09/2005

Expiration Date

03/31/2006

City

TOPEKA

State

Zip

61567

County

MASON

Ever Disciplined

LastModifiedDate

05/11/2006