FULLERTON WESTERN PROFESSIONAL PHARM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054005119

License Status

NOT RENEWED

Business

Business Name

FULLERTON WESTERN PROFESSIONAL PHARM

Original Issue Date

01/01/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010

Case Number

1986000129

Action

Probation

Discipline Start Date

08/27/1990

Discipline End Date

08/27/1991