METHODIST MEDICAL CENTER OF ILLINOIS Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059002162

License Status

CANCELLED

Business

Business Name

METHODIST MEDICAL CENTER OF ILLINOIS

Original Issue Date

01/01/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61636

County

PEORIA

Ever Disciplined

LastModifiedDate

02/01/2010