ST JOHNS HOSPITAL PHARMACY Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED DIVISION V PHARMACY

License Number

093013360

License Status

CANCELLED

Business

Business Name

ST JOHNS HOSPITAL PHARMACY

Original Issue Date

12/17/1996

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/03/2010