JOHN MARK STOUT - Pharmacist License in Illinois | # 049188739

JOHN MARK STOUT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188739

License Status

NOT RENEWED

Business

N

First Name

JOHN

Middle

MARK

Last Name

STOUT

Business Name

JOHN MARK STOUT

Original Issue Date

12/15/2008

Effective Date

01/19/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011