MENDOTA COMMUNITY HOSPITAL Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059003228

License Status

CANCELLED

Business

Business Name

MENDOTA COMMUNITY HOSPITAL

Original Issue Date

01/01/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MENDOTA

State

Zip

61342

County

LA SALLE

Ever Disciplined

LastModifiedDate

02/09/2010