NORTHWESTERN LAKE FOREST HOSPITAL Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED DIVISION III PHARMACY

License Number

059013212

License Status

CHANGE OF OWNERSHIP

Business

Business Name

NORTHWESTERN LAKE FOREST HOSPITAL

Original Issue Date

05/15/1996

Effective Date

02/08/2006

Expiration Date

03/31/2008

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

03/24/2006