UNIVERSITY OF ILLINOIS AT URBANA -CHAMPAIGN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097002202

License Status

NOT RENEWED

Business

Business Name

UNIVERSITY OF ILLINOIS AT URBANA -CHAMPAIGN

Original Issue Date

06/21/2017

Effective Date

06/21/2017

Expiration Date

12/31/2018

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

GOVT-LOCAL

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

02/21/2019