COVENANT OUTPATIENT PHARMACY Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054007399

License Status

CHANGE OF OWNERSHIP

Business

Business Name

COVENANT OUTPATIENT PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1998

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005