FAYETTE COUNTY HOSPITAL Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059003558

License Status

CANCELLED

Business

Business Name

FAYETTE COUNTY HOSPITAL

Original Issue Date

01/01/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

03/03/2010