SUPERX DRUGS IL 20 Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****43

License Status

CANCELLED

Business

Business Name

SUPERX DRUGS IL 20

Original Issue Date

06/05/1986

Effective Date

06/05/1986

Expiration Date

03/31/1988

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005