METAMORA PHARMACY IN Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****72

License Status

CHANGE OF OWNERSHIP

Business

Business Name

METAMORA PHARMACY IN

Original Issue Date

01/01/1997

Expiration Date

03/31/2000

City

METAMORA

State

Zip

61548

County

WOODFORD

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005