PHYSICIANS SUPPLY CO INC Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097000125

License Status

CANCELLED

Business

Business Name

PHYSICIANS SUPPLY CO INC

Original Issue Date

01/07/1972

Expiration Date

01/01/1997

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005