WESTERN AVE MED PHARINC - Pharmacist License in Illinois | # 054006452

WESTERN AVE MED PHARINC

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054006452

License Status

CHANGE OF OWNERSHIP

Business

Y

Business Name

WESTERN AVE MED PHARINC

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005