MOLLY K STOUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167762

License Status

NOT RENEWED

Business

First Name

MOLLY

Middle

Last Name

STOUT

Business Name

MOLLY K STOUT

Original Issue Date

04/13/2006

Effective Date

04/13/2006

Expiration Date

03/31/2007

City

MT ZION

State

Zip

62549

County

MACON

Ever Disciplined

LastModifiedDate

05/14/2007