US DEPARTMENT OF AGRICULTURE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097001771

License Status

ACTIVE

Business

Business Name

US DEPARTMENT OF AGRICULTURE

Original Issue Date

11/29/2010

Effective Date

10/01/2024

Expiration Date

12/31/2026

City

PEORIA

State

Zip

61604

County

PEORIA

Specialty/Qualifier

GOVT-STATE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/01/2024