SOUTHERN ILLINOIS UNIVERSITY CARBONDALE Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097002147

License Status

CANCELLED

Business

Business Name

SOUTHERN ILLINOIS UNIVERSITY CARBONDALE

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

OTHER

Ever Disciplined

LastModifiedDate

06/08/2016