CROSSROADS COMMUNITY HOSP PHARMACY Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059008658

License Status

CANCELLED

Business

Business Name

CROSSROADS COMMUNITY HOSP PHARMACY

Original Issue Date

01/01/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

02/01/2010