ILLINOIS MASONIC MEDICAL CENTER PHAR Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED DIVISION II PHARMACY

License Number

058003105

License Status

CHANGE OF OWNERSHIP

Business

Business Name

ILLINOIS MASONIC MEDICAL CENTER PHAR

Original Issue Date

01/01/1997

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/19/2005