MIDWAY DENTAL SUPPLY INC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED WHOLESALE DRUG DISTRIBUTOR

License Number

004003451

License Status

CHANGE OF OWNERSHIP

Business

Business Name

MIDWAY DENTAL SUPPLY INC

BusinessDBA

MIDWAY DENTAL SUPPLY

Original Issue Date

03/13/2012

Effective Date

06/11/2015

Expiration Date

12/31/2016

City

LAKEVILLE

State

Zip

46536

County

INDIANA

Specialty/Qualifier

OTHER

Ever Disciplined

LastModifiedDate

08/04/2015