PROFESSIONAL PHARMACY OF CARBONDALE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****80

License Status

NOT RENEWED

Business

Business Name

PROFESSIONAL PHARMACY OF CARBONDALE

Original Issue Date

03/31/1982

Effective Date

03/31/1982

Expiration Date

03/31/1992

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005