THE PAVILION Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059012074

License Status

CANCELLED

Business

Business Name

THE PAVILION

Original Issue Date

06/29/1995

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/29/2010