FAIRFIELD MEMORIAL HOSPITAL Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059002953

License Status

CANCELLED

Business

Business Name

FAIRFIELD MEMORIAL HOSPITAL

Original Issue Date

01/01/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

02/22/2010