CENTER FOR MEDICAL ARTS PHARMACY Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****26

License Status

CHANGE OF OWNERSHIP

Business

Business Name

CENTER FOR MEDICAL ARTS PHARMACY

Original Issue Date

12/12/2007

Effective Date

03/31/2008

Expiration Date

03/31/2010

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

RETAIL PHARMACY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2007