PRESENCE HOSPITALS PRV Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059013399

License Status

CANCELLED

Business

Business Name

PRESENCE HOSPITALS PRV

BusinessDBA

COVENANT OUTPATIENT PHARMACY

Original Issue Date

01/15/1998

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/11/2010