PROVIDENT HOSPITAL OF COOK COUNTY - Pharmacist License in Illinois | # 059011378

PROVIDENT HOSPITAL OF COOK COUNTY

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059011378

License Status

CANCELLED

Business

Y

Business Name

PROVIDENT HOSPITAL OF COOK COUNTY

Original Issue Date

06/10/1993

Effective Date

03/07/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

02/25/2010