LAKEVIEW MEDICAL CTR Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059003004

License Status

CHANGE OF OWNERSHIP

Business

Business Name

LAKEVIEW MEDICAL CTR

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

10/19/2005