SOUTHERN ILLINOIS UNIVERSITY - Pharmacist License in Illinois | # 097001744

SOUTHERN ILLINOIS UNIVERSITY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097001744

License Status

NOT RENEWED

Business

Y

Business Name

SOUTHERN ILLINOIS UNIVERSITY

Original Issue Date

06/11/2010

Effective Date

12/20/2016

Expiration Date

12/31/2018

State

IL

Specialty/Qualifier

GOVT-STATE

Ever Disciplined

N

LastModifiedDate

02/21/2019