METHODIST MEDICAL CTR TOXICOLOGY LAB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097000856

License Status

NOT RENEWED

Business

Business Name

METHODIST MEDICAL CTR TOXICOLOGY LAB

Original Issue Date

12/29/1992

Effective Date

12/29/1992

Expiration Date

12/31/2000

City

PEORIA

State

Zip

61636

County

PEORIA

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

10/20/2005