ILLINI COMMUNITY HOSPITAL PHARMACY Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059005810

License Status

CHANGE OF OWNERSHIP

Business

Business Name

ILLINI COMMUNITY HOSPITAL PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

10/19/2005