MOODY PHARMACY INC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****39

License Status

CHANGE OF OWNERSHIP

Business

Business Name

MOODY PHARMACY INC

Original Issue Date

01/01/1997

Expiration Date

03/31/2002

City

SPARTA

State

Zip

62286

County

RANDOLPH

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005

Case Number

1988002448

Action

Probation

Discipline Start Date

01/13/1989

Discipline End Date

07/13/1989