GENOA HEALTHCARE OF ILLINOIS LLC Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED DIVISION II PHARMACY

License Number

058013547

License Status

CANCELLED

Business

Business Name

GENOA HEALTHCARE OF ILLINOIS LLC

Original Issue Date

01/11/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/11/2010