LAKE SHORE DRIVE PHARMACY Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054004502

License Status

CLOSED

Business

Business Name

LAKE SHORE DRIVE PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1996

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005