Application Status Query

Instructions: 

Please allow one hour after receipt of your status update email for the updates to be reflected in the online checklist.

Please verify the checklist information below, including your address. If your address has changed, please e-mail your application number, name, profession, along with your old and new address. The Credentialing department posts status information following receipt and review of application materials.

As of  :  03/19/2003
Application#  :  164507
Name  :  LHO Pharmacy
Profession  :  Pharmacy (in state)
Address  :  Oshkosh, WI
Application Status  :  (Permanent license issued)


Requirements Not Met:
Description Status Comments (Please note, not all requirements will include comments)

Requirements Met:
Description Status Comments (Please note, not all requirements will include comments)
Type of License Met
Applicant Address of Distributor Facility Met
Owner Partners Corporate Officers, titles, etc Met
Date of Purchase Proposed Opening Date Met
May 15, 2003
Barrier Requested? Met
Pharmacy Hours Daily Saturday Sunday Met
Employee schedule - be specific Met
Managing Pharmacist Affidavit and License # Met
Inspection Ready Date (self inspection will be used) Met
May 15th 2003
Affidavit of applicant, signed Met
Application Fee Met
$
Floor plan - original (scaled to size, location of sink and refrigerator with prescription counter space clearly indicated) Met
Federal Employer Identification Number Collection (Form #2380) Met
Self-Inspection (This will not be mailed until application is completed.) Met
Submit Request to DEA (for your info only) Met