BOHRA MEDICAL & DENTAL SUPPLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED WHOLESALE DRUG DISTRIBUTOR

License Number

004000567

License Status

NOT RENEWED

Business

Business Name

BOHRA MEDICAL & DENTAL SUPPLY

Original Issue Date

03/23/1995

Effective Date

03/23/1995

Expiration Date

12/31/2002

City

SCHAUMBURG

State

Zip

60173

County

COOK

Specialty/Qualifier

Wholesale Drug

Ever Disciplined

LastModifiedDate

10/16/2005

Case Number

2002006947

Action

Revocation

Discipline Start Date

03/31/2005

Discipline Reason

Failed to notify the Department of its relocation.