Facility Details « Licensing and Management System Admin

Facility ID:12527WPRJ

Application	Submit Date
0000112403 Modification of License Granted, Active Status Date: 04/22/2020	04/20/2020
BPH-20121024ACO Minor Modification Dismissed, In-Active Status Date: 05/20/2013	10/24/2012
BLED-20050808ACN License To Cover Granted, In-Active Status Date: 09/22/2005	08/08/2005
BPH-20050422AAL Minor Modification Granted, In-Active Status Date: 07/21/2005	04/22/2005
BMLED-20041214AFM Modification of License Dismissed, In-Active Status Date: 09/22/2005	12/14/2004
Allotment Granted, Active Status Date: 08/27/1997	08/27/1997
BMLH-19970527KC Modification of License Granted, In-Active Status Date: 08/27/1997	05/27/1997
BLH-19921120KC License To Cover Granted, In-Active Status Date: 03/25/1993	11/20/1992
BMPH-19921104JG Modification of License Granted, In-Active Status Date: 12/08/1992	11/04/1992
BMPH-19920221JA Modification of License Granted, In-Active Status Date: 05/05/1992	02/21/1992
BMPH-19910429ID Minor Modification Granted, In-Active Status Date: 08/26/1991	04/29/1991
BMPH-19900927JE Modification of License Granted, In-Active Status Date: 08/26/1991	09/27/1990
BMPH-19891214IB Minor Modification Granted, In-Active Status Date: 04/16/1990	12/14/1989
BMPH-19890705JO Modification of License Granted, In-Active Status Date: 11/09/1989	07/05/1989
BPH-19861002TJ Construction Permit Granted, In-Active Status Date: 01/07/1988	10/31/1986