MUNSTER MEDICAL CENTER INFUSION PRODUCTS INC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****04

License Status

CHANGE OF OWNERSHIP

Business

Business Name

MUNSTER MEDICAL CENTER INFUSION PRODUCTS INC

Original Issue Date

05/24/2000

Effective Date

03/05/2012

Expiration Date

03/31/2014

City

MUNSTER

State

Zip

46321

County

INDIANA

Specialty/Qualifier

RETAIL PHARMACY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2008