SUPREME DISTRIBUTORS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED WHOLESALE DRUG DISTRIBUTOR

License Number

004000693

License Status

NOT RENEWED

Business

Business Name

SUPREME DISTRIBUTORS

Original Issue Date

10/10/1996

Effective Date

10/10/1996

Expiration Date

12/31/2006

City

LEBANON

State

Zip

46052

County

INDIANA

Specialty/Qualifier

Wholesale Drug

Ever Disciplined

LastModifiedDate

02/06/2007

Case Number

2003009392

Action

Fine

Discipline Start Date

01/11/2005

Discipline Reason

FAILED TO RENEW WHOLESALE DRUG DISTRIBUTOR LICENSE WHILE DISTRIBUTING DRUGS TO ILLINOIS.