EDWARD A UTLAUT MEMORIAL HOSPITAL Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****19

License Status

CHANGE OF OWNERSHIP

Business

Business Name

EDWARD A UTLAUT MEMORIAL HOSPITAL

Original Issue Date

01/01/1997

Expiration Date

03/31/1994

City

GREENVILLE

State

Zip

62246

County

BOND

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2009