DOWNSTATE CLINICAL POSITRON EMISSION Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED DIVISION IV PHARMACY

License Number

064010072

License Status

CLOSED

Business

Business Name

DOWNSTATE CLINICAL POSITRON EMISSION

Original Issue Date

02/13/1991

Effective Date

02/13/1991

Expiration Date

03/31/1996

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

10/18/2005