BROMENN REGIONAL MEDICAL CENTER Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****75

License Status

CHANGE OF OWNERSHIP

Business

Business Name

BROMENN REGIONAL MEDICAL CENTER

Original Issue Date

02/20/1986

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2008