111TH STREET PHARMACY INC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054006073

License Status

CHANGE OF OWNERSHIP

Business

Business Name

111TH STREET PHARMACY INC

Original Issue Date

01/01/1997

Expiration Date

03/31/1992

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1990003472

Action

Probation

Discipline Start Date

08/13/1990

Discipline End Date

08/13/1991