ESSENTIAL WELLNESS PHARMACY INC Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****38

License Status

CANCELLED

Business

Business Name

ESSENTIAL WELLNESS PHARMACY INC

Original Issue Date

10/07/2004

Effective Date

02/27/2007

Expiration Date

03/31/2008

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

RETAIL PHARMACY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/25/2010