GROUP HEALTH PLAN PHARMACY Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054008743

License Status

CHANGE OF OWNERSHIP

Business

Business Name

GROUP HEALTH PLAN PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1998

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005