LADD PHARMACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054005199

License Status

NOT RENEWED

Business

Business Name

LADD PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

City

LADD

State

Zip

61329

County

BUREAU

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1989001513

Action

Revocation

Discipline Start Date

11/09/1989