Pharmacist
REGISTERED PHARMACIST
051038772
ACTIVE
N
NIDA I
ALI
NIDA I ALI
04/01/1992
03/24/2026
03/31/2028
BURR RIDGE
IL
60527
DUPAGE
Y
03/24/2026
1996008952
Fine
01/21/1997
Failed to submit sufficient proof of required continuing education hours during a Department audit.