GULF SOUTH MEDICAL SUPPLY INC - Pharmacist License in Wisconsin | # 004003690

GULF SOUTH MEDICAL SUPPLY INC

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED WHOLESALE DRUG DISTRIBUTOR

License Number

004003690

License Status

CHANGE OF OWNERSHIP

Business

Y

Business Name

GULF SOUTH MEDICAL SUPPLY INC

Original Issue Date

07/19/2013

Effective Date

11/21/2014

Expiration Date

12/31/2016

State

WI

Specialty/Qualifier

WHOLESALE DRUG

Ever Disciplined

N

LastModifiedDate

07/15/2015