KEYSOURCE MEDICAL INC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED SUBSTANCE DRUG DIST

License Number

30*****74

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KEYSOURCE MEDICAL INC

Original Issue Date

12/29/1998

Effective Date

11/19/2010

Expiration Date

12/31/2012

City

CINCINNATI

State

Zip

45249

County

OHIO

Specialty/Qualifier

DISTRIBUTOR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2019

Case Number

2014009876

Action

Refuse To Renew

Discipline Start Date

06/05/2019

Discipline Reason

due to a discipline in Ohio and loss of DEA certificate of registration.