COMMUNITY MEMORIAL HOSPITAL Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****67

License Status

CHANGE OF OWNERSHIP

Business

Business Name

COMMUNITY MEMORIAL HOSPITAL

Original Issue Date

07/25/1985

Effective Date

03/03/2016

Expiration Date

03/31/2018

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/29/2010