PUBLIC HOSPITAL OF THE TOWN OF SALEM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****59

License Status

NOT RENEWED

Business

Business Name

PUBLIC HOSPITAL OF THE TOWN OF SALEM

Original Issue Date

01/01/1997

Expiration Date

03/31/1996

City

SALEM

State

Zip

62881

County

MARION

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005