KRISTIN M FOUTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176480

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

Last Name

FOUTS

Business Name

KRISTIN M FOUTS

Original Issue Date

05/18/2007

Effective Date

02/11/2013

Expiration Date

03/31/2014

City

EDWARDS

State

Zip

61528

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2014