LAGRANGE MEMORIAL HOSPITAL PHARMACY Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059000238

License Status

CHANGE OF OWNERSHIP

Business

Business Name

LAGRANGE MEMORIAL HOSPITAL PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1996

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/19/2005