BARTONVILLE VILLAGE PHARMACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054001497

License Status

NOT RENEWED

Business

Business Name

BARTONVILLE VILLAGE PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1986000711

Action

Revocation

Discipline Start Date

12/12/1990