PULMOCARE MEDICAL SUPPLY INC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****81

License Status

CHANGE OF OWNERSHIP

Business

Business Name

PULMOCARE MEDICAL SUPPLY INC

Original Issue Date

10/07/1998

Effective Date

10/07/1998

Expiration Date

03/31/2004

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Specialty/Qualifier

Retail Pharmacy

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005