Facility Details « Licensing and Management System Admin

Facility ID:57301WMCM

Application	Submit Date
0000171021 License To Cover Granted, Active Status Date: 01/27/2022	11/23/2021
0000132318 Minor Modification Granted, In-Active Status Date: 03/18/2021	01/25/2021
BPH-20190917AAK Minor Modification Granted, In-Active Status Date: 10/28/2019	09/17/2019
BMLH-20160205AAE Modification of License Granted, In-Active Status Date: 04/05/2016	02/05/2016
BLH-20011121AAR License To Cover Granted, In-Active Status Date: 12/21/2001	11/21/2001
BPH-20010426AAQ Minor Modification Granted, In-Active Status Date: 08/30/2001	04/26/2001
BLH-19960126KC License To Cover Granted, In-Active Status Date: 04/25/1996	01/26/1996
BPH-19940902IA Minor Modification Granted, In-Active Status Date: 01/13/1995	09/02/1994
Allotment Granted, Active Status Date: 10/04/1992	10/04/1992
BLH-19900719KB License To Cover Granted, In-Active Status Date: 04/09/1992	07/19/1990
BPH-19890825IC Minor Modification Granted, In-Active Status Date: 07/03/1990	08/25/1989
BLH-19890728KB License To Cover Granted, In-Active Status Date: 04/30/1990	07/28/1989
BPH-19880727IC Minor Modification Granted, In-Active Status Date: 05/19/1989	07/27/1988
BLH-19880606KA License To Cover Granted, In-Active Status Date: 11/14/1988	06/06/1988
BMPH-19871204JA Modification of License Granted, In-Active Status Date: 02/17/1988	12/04/1987
BPH-19860421IF Minor Modification Granted, In-Active Status Date: 06/06/1986	04/21/1986