SOUTHWEST ILLINOIS TREATMENT CENTER - Pharmacist License in Illinois | # 097001353

SOUTHWEST ILLINOIS TREATMENT CENTER

Business Entity

CANCELLED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097001353

License Status

CANCELLED

Business

Y

Business Name

SOUTHWEST ILLINOIS TREATMENT CENTER

Original Issue Date

03/11/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/18/2005