DECATUR MEMORIAL HOSPITAL Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059002998

License Status

CANCELLED

Business

Business Name

DECATUR MEMORIAL HOSPITAL

Original Issue Date

01/01/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

02/01/2010