RICE STATE STREET PHARMACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****55

License Status

NOT RENEWED

Business

Business Name

RICE STATE STREET PHARMACY

Original Issue Date

08/07/1986

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

EAST ST LOUIS

State

Zip

62205

County

SAINT CLAIR

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2010

Case Number

1988001116

Action

Suspension

Discipline Start Date

05/06/1988

Discipline End Date

06/06/1988