ILLINOIS MASONIC MEDICAL CENTER PHARMACY - Pharmacist License in Illinois | # 059013441

ILLINOIS MASONIC MEDICAL CENTER PHARMACY

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059013441

License Status

CANCELLED

Business

Y

Business Name

ILLINOIS MASONIC MEDICAL CENTER PHARMACY

Original Issue Date

09/26/2001

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

03/22/2010