SUPERX DRUGS IL 87 Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****06

License Status

CANCELLED

Business

Business Name

SUPERX DRUGS IL 87

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005