JOHN E MATHEWS JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029793

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

MATHEWS

Suffix

Business Name

JOHN E MATHEWS JR

Original Issue Date

12/10/1973

Effective Date

03/08/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

04/16/2009

Case Number

2004005781

Action

Suspension

Discipline Start Date

03/01/2005

Discipline End Date

12/28/2006

Discipline Reason

Diverted controlled substances to self-medicate a severe depressive state.