ELISE M STOUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207801

License Status

NOT RENEWED

Business

First Name

ELISE

Middle

Last Name

STOUT

Prefix

Business Name

ELISE M STOUT

Original Issue Date

11/15/2011

Effective Date

11/15/2011

Expiration Date

03/31/2012

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

05/07/2012