ST MARY'S HOSPITAL PHARMACY Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059002757

License Status

CANCELLED

Business

Business Name

ST MARY'S HOSPITAL PHARMACY

Original Issue Date

01/01/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

03/11/2010

Case Number

1990003308

Action

Probation

Discipline Start Date

09/27/1990

Discipline End Date

03/27/1991