ST MARY'S HOSPITAL CENTRALIA Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059002988

License Status

CANCELLED

Business

Business Name

ST MARY'S HOSPITAL CENTRALIA

Original Issue Date

01/01/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

05/02/2019