DYLAN STOUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049275436

License Status

NOT RENEWED

Business

First Name

DYLAN

Last Name

STOUT

Business Name

DYLAN STOUT

Original Issue Date

08/31/2020

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

07/27/2022