CHICAGO DENTAL SUPPLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED WHOLESALE DRUG DISTRIBUTOR

License Number

004002412

License Status

NOT RENEWED

Business

First Name

PAUL

Last Name

MYERS

Business Name

CHICAGO DENTAL SUPPLY

Original Issue Date

11/03/2006

Effective Date

12/01/2008

Expiration Date

12/31/2010

City

MORTON GROVE

State

Zip

60053

County

COOK

Specialty/Qualifier

WHOLESALE DRUG

Ever Disciplined

LastModifiedDate

02/08/2011