ENLOES PCI PRESCRIPTION CENTER Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED DIVISION II PHARMACY

License Number

058008367

License Status

CHANGE OF OWNERSHIP

Business

Business Name

ENLOES PCI PRESCRIPTION CENTER

Original Issue Date

01/01/1997

Expiration Date

03/31/1994

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/19/2005