TAHOE VILLAGE PHARMACY - Pharmacist License in Illinois | # 054005482

TAHOE VILLAGE PHARMACY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054005482

License Status

NOT RENEWED

Business

Y

Business Name

TAHOE VILLAGE PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

State

IL

Ever Disciplined

Y

LastModifiedDate

10/17/2005

Case Number

1989004030

Action

Revocation

Discipline Start Date

06/19/1990