PROCTOR COMMUNITY HOSPITAL Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054017161

License Status

CHANGE OF OWNERSHIP

Business

Business Name

PROCTOR COMMUNITY HOSPITAL

Original Issue Date

02/04/2010

Effective Date

01/25/2012

Expiration Date

03/31/2014

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/16/2012