COVENANT MEDICAL CENTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****18

License Status

NOT RENEWED

Business

Business Name

COVENANT MEDICAL CENTER

Original Issue Date

10/16/1989

Effective Date

10/16/1989

Expiration Date

03/31/1994

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005