PASSAVANT AREA HOSPITAL ASSOCIATION Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059003926

License Status

CANCELLED

Business

Business Name

PASSAVANT AREA HOSPITAL ASSOCIATION

Original Issue Date

01/01/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

03/22/2010