SOUTHERN IL UNIV AT EDWARDSVILLE PHARMACY Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059005509

License Status

CANCELLED

Business

Business Name

SOUTHERN IL UNIV AT EDWARDSVILLE PHARMACY

Original Issue Date

01/01/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

EDWARDSVILLE

State

Zip

62026

County

MADISON

Ever Disciplined

LastModifiedDate

03/11/2010