LAWRENCE COUNTY MEMORIAL HOSPITAL Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****30

License Status

CHANGE OF OWNERSHIP

Business

Business Name

LAWRENCE COUNTY MEMORIAL HOSPITAL

Original Issue Date

01/01/1997

Effective Date

01/05/2010

Expiration Date

03/31/2012

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/01/2010