ILLINOIS SUPER FOODS INC Pharmacist License verification

ILLINOIS SUPER FOODS INC

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054013290

License Status

CHANGE OF OWNERSHIP

Business

Business Name

ILLINOIS SUPER FOODS INC

Original Issue Date

08/22/1996

Effective Date

08/22/1996

Expiration Date

03/31/2000

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1997050250

Action

Probation

Discipline Start Date

01/17/1999

Discipline End Date

01/16/2001

Discipline Reason

A Department audit revealed substantial discrepancies in certain controlled substances and a pharmacy employee diverted controlled substances and the pharmacy owners failed to adequately secure the pharmacy's controlled substances.