SIU SCHOOL OF MEDICINE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097002190

License Status

ACTIVE

Business

Business Name

SIU SCHOOL OF MEDICINE

Original Issue Date

02/28/2017

Effective Date

11/25/2024

Expiration Date

12/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

GOVT-STATE

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/27/2024