WEXFORD HEALTH SOURCE INC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059007705

License Status

CHANGE OF OWNERSHIP

Business

Business Name

WEXFORD HEALTH SOURCE INC

Original Issue Date

01/01/1997

Expiration Date

03/31/1996

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/19/2005