BOHRA MEDICAL & DENTAL SUPPLY - Pharmacist License in Illinois | # 004000567

BOHRA MEDICAL & DENTAL SUPPLY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED WHOLESALE DRUG DISTRIBUTOR

License Number

004000567

License Status

NOT RENEWED

Business

Y

Business Name

BOHRA MEDICAL & DENTAL SUPPLY

Original Issue Date

03/23/1995

Effective Date

03/23/1995

Expiration Date

12/31/2002

State

IL

Specialty/Qualifier

Wholesale Drug

Ever Disciplined

Y

LastModifiedDate

10/16/2005

Case Number

2002006947

Action

Revocation

Discipline Start Date

03/31/2005

Discipline Reason

Failed to notify the Department of its relocation.