JAMES LANCE STOUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184463

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

LANCE

Last Name

STOUT

Business Name

JAMES LANCE STOUT

Original Issue Date

05/21/2008

Effective Date

05/21/2008

Expiration Date

03/31/2009

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2009