MADISON PINE CLINIC PHARMACY Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054005461

License Status

CHANGE OF OWNERSHIP

Business

Business Name

MADISON PINE CLINIC PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005