ESSENTIAL WELLNESS PHARMACY INC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****58

License Status

CHANGE OF OWNERSHIP

Business

Business Name

ESSENTIAL WELLNESS PHARMACY INC

Original Issue Date

06/03/2009

Effective Date

01/21/2014

Expiration Date

03/31/2016

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

RETAIL PHARMACY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2010