BRUCE ALLEN STOUT Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035529

License Status

INACTIVE

Business

First Name

BRUCE ALLEN

Last Name

STOUT

Business Name

BRUCE ALLEN STOUT

Original Issue Date

10/03/1984

Effective Date

01/14/2020

Expiration Date

07/31/2022

City

SAVANNA

State

Zip

61074

County

CARROLL

Ever Disciplined

LastModifiedDate

03/12/2022