IDOA REFERENCE LAB Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097002551

License Status

ACTIVE

Business

Business Name

IDOA REFERENCE LAB

Original Issue Date

01/29/2026

Effective Date

01/29/2026

Expiration Date

12/31/2026

City

SPRINGFIELD

State

Zip

62702

Specialty/Qualifier

GOVT-STATE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/29/2026