WESTERN ILLINOIS UNIVERSITY - Pharmacist License in Illinois | # 097001488

WESTERN ILLINOIS UNIVERSITY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097001488

License Status

NOT RENEWED

Business

Y

Business Name

WESTERN ILLINOIS UNIVERSITY

Original Issue Date

08/23/2005

Effective Date

07/10/2007

Expiration Date

12/31/2008

State

IL

Specialty/Qualifier

INDIVIDUAL

Controlled Substance Schedule

II

Ever Disciplined

N

LastModifiedDate

02/11/2009