ST MARY'S HOSPITAL CENTRALIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****49

License Status

NOT RENEWED

Business

Business Name

ST MARY'S HOSPITAL CENTRALIA

Original Issue Date

02/15/2012

Effective Date

01/31/2012

Expiration Date

03/31/2014

City

CENTRALIA

State

Zip

62801

County

MARION

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2014