KATELYN NICHOLE STOUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049232996

License Status

NOT RENEWED

Business

First Name

KATELYN

Middle

NICHOLE

Last Name

STOUT

Business Name

KATELYN NICHOLE STOUT

Original Issue Date

05/12/2015

Effective Date

04/19/2016

Expiration Date

03/31/2017

City

PAYSON

State

Zip

62360

County

ADAMS

Ever Disciplined

LastModifiedDate

05/10/2017