NORTHWESTERN MEMORIAL MGMNT CORP PHM Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED DIVISION II PHARMACY

License Number

058007576

License Status

CHANGE OF OWNERSHIP

Business

Business Name

NORTHWESTERN MEMORIAL MGMNT CORP PHM

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/19/2005