GENOA HEALTHCARE OF ILLINOIS LLC Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED DIVISION II PHARMACY

License Number

058013575

License Status

CANCELLED

Business

Business Name

GENOA HEALTHCARE OF ILLINOIS LLC

Original Issue Date

01/17/2007

Effective Date

04/06/2009

Expiration Date

03/31/2010

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

03/22/2010

Case Number

2008004417

Action

Reprimand

Discipline Start Date

02/10/2010

Discipline Reason

for failure to notify the Department of the change in the pharmacist-in-charge in a timely manner.