License holder summary

MEDIQ/PRN LIFE SUPPORT is a Pharmacy - Pharmacy Class C licensed to practice in Utah. The address on file for MEDIQ/PRN LIFE SUPPORT is SALT LAKE CITY, UT 84119. This licensed professional license is not current. The license was granted 12/10/1999 and expired on 05/31/2005.

Utah

Division of Occupational and Professional Licensing

MEDIQ/PRN LIFE SUPPORT
Pharmacy - Pharmacy Class C
License number
379697-1710
Date granted
12/10/1999
Date expires
05/31/2005
Class
Pharmacy - Pharmacy Class C
Status
Surrendered
Address
SALT LAKE CITY, UT 84119
utahlicensing.org
ID 29882661
LAST UPDATED 2024-04-08 14:39:32 UTC

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