PERRY MEMORIAL HOSPITAL Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****85

License Status

CHANGE OF OWNERSHIP

Business

Business Name

PERRY MEMORIAL HOSPITAL

Original Issue Date

01/01/1997

Effective Date

01/04/2020

Expiration Date

03/31/2022

City

PRINCETON

State

Zip

61356

County

BUREAU

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2020