PEDIATRIC SERVICES OF AMERICA INC Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****56

License Status

CLOSED

Business

Business Name

PEDIATRIC SERVICES OF AMERICA INC

Original Issue Date

09/29/2005

Effective Date

10/20/2005

Expiration Date

03/31/2006

City

FAIRFIELD

State

Zip

07004

County

NEW JERSEY

Specialty/Qualifier

RETAIL PHARMACY

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

05/11/2006