DREW DOUGLAS STOUTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228536

License Status

NOT RENEWED

Business

First Name

DREW

Middle

DOUGLAS

Last Name

STOUTIN

Business Name

DREW DOUGLAS STOUTIN

Original Issue Date

10/15/2014

Effective Date

10/15/2014

Expiration Date

03/31/2015

City

CASEY

State

Zip

62420

County

CLARK

Ever Disciplined

LastModifiedDate

05/11/2015