Pharmacist
LICENSED PHARMACY
054005636
NOT RENEWED
Y
63RD AND ELLIS PHARMACY INC
01/01/1997
03/31/1990
CHICAGO
IL
60637
COOK
Y
10/17/2005
1990007681
Revocation
04/03/1992
Failing to forward to the Department a copy of the closing inventory of controlled substances and a statement indicating the intended manner of disposition of all legend drugs and prescription files within 10 days from the date the pharmacy ceased operation.