DALTON W CLOUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245891

License Status

NOT RENEWED

Business

First Name

DALTON

Middle

Last Name

CLOUSE

Business Name

DALTON W CLOUSE

Original Issue Date

10/27/2016

Effective Date

03/16/2024

Expiration Date

03/31/2025

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/08/2025