SOUTH SHORE HOSPITAL

Business Entity
CANCELLED

Pharmacist

LICENSED DIVISION III PHARMACY

059002938

CANCELLED

Y

SOUTH SHORE HOSPITAL

01/04/1965

01/10/2008

03/31/2010

CHICAGO

IL

60617

COOK

Y

02/22/2010

1989001549

Probation

09/29/1989

03/29/1989