ENLOES LINCOLN SQUARE DRUG STORE Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****49

License Status

CLOSED

Business

Business Name

ENLOES LINCOLN SQUARE DRUG STORE

Original Issue Date

01/01/1997

Expiration Date

03/31/1992

City

DECATUR

State

Zip

62523

County

MACON

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005

Case Number

1987002441

Action

Probation

Discipline Start Date

11/17/1988

Discipline End Date

11/17/1990