CREST SMILE SHOPPE - Pharmacist License in Illinois | # 097001391

CREST SMILE SHOPPE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097001391

License Status

NOT RENEWED

Business

Y

Business Name

CREST SMILE SHOPPE

Original Issue Date

12/23/2003

Effective Date

12/10/2008

Expiration Date

12/31/2010

State

IL

Controlled Substance Schedule

III

Ever Disciplined

N

LastModifiedDate

02/08/2011