STATSOURCE MEDICAL, LLC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED WHOLESALE DRUG DISTRIBUTOR

License Number

004004597

License Status

NOT RENEWED

Business

Business Name

STATSOURCE MEDICAL, LLC

Original Issue Date

05/16/2018

Effective Date

10/31/2018

Expiration Date

12/31/2020

City

TAMPA

State

Zip

33647

County

FLORIDA

Specialty/Qualifier

WHOLESALE DRUG

Ever Disciplined

LastModifiedDate

03/11/2021