BURNHAM HOSPITAL PHARMACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****28

License Status

NOT RENEWED

Business

Business Name

BURNHAM HOSPITAL PHARMACY

Original Issue Date

10/11/1985

Effective Date

10/11/1985

Expiration Date

03/31/1990

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005