MEMORIAL HOSPITAL PHARMACY Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059002905

License Status

CANCELLED

Business

Business Name

MEMORIAL HOSPITAL PHARMACY

Original Issue Date

01/01/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

02/01/2010