ILLINOIS MASONIC MEDICAL CENTER PHAR - Pharmacist License in Illinois | # 058003105

ILLINOIS MASONIC MEDICAL CENTER PHAR

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED DIVISION II PHARMACY

License Number

058003105

License Status

CHANGE OF OWNERSHIP

Business

Y

Business Name

ILLINOIS MASONIC MEDICAL CENTER PHAR

Original Issue Date

01/01/1997

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/19/2005