GROUP HEALTH PLAN PHARMACY - Pharmacist License in Illinois | # 054008743

GROUP HEALTH PLAN PHARMACY

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054008743

License Status

CHANGE OF OWNERSHIP

Business

Y

Business Name

GROUP HEALTH PLAN PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005