GULF SOUTH MEDICAL SUPPLY INC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED WHOLESALE DRUG DISTRIBUTOR

License Number

004003690

License Status

CHANGE OF OWNERSHIP

Business

Business Name

GULF SOUTH MEDICAL SUPPLY INC

Original Issue Date

07/19/2013

Effective Date

11/21/2014

Expiration Date

12/31/2016

City

WINDSOR

State

Zip

53598

County

WISCONSIN

Specialty/Qualifier

WHOLESALE DRUG

Ever Disciplined

LastModifiedDate

07/15/2015