PROVANTAGE PRESC MGT SERV
Pharmacy - Pharmacy Class D
Utah 269542-1708 Administrative Hold
This Utah license was held by PROVANTAGE PRESC MGT SERV. The license is no longer active. It was granted on 02/22/1994 and expired on 05/31/1997
LICENSE DETAILS
- License Number: 269542-1708
- Category: PHARMACY - CLASS D
- Status: Administrative Hold
- Date Granted: 02/22/1994 (about 31 years ago)
- Expiry Date: 05/31/1997 (almost 28 years ago)
LOCATIONS
A Address
GREEN BAY, WI 54304