LAKE FOREST HOSPITALPHARMACY Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059003080

License Status

CHANGE OF OWNERSHIP

Business

Business Name

LAKE FOREST HOSPITALPHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1998

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

10/19/2005