PROCTOR COMMUNITY HOSPITAL Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****36

License Status

CHANGE OF OWNERSHIP

Business

Business Name

PROCTOR COMMUNITY HOSPITAL

Original Issue Date

01/01/1997

Effective Date

01/25/2012

Expiration Date

03/31/2014

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2010