PROVIDENT HOSPITAL OF COOK COUNTY Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED DIVISION V PHARMACY

License Number

093011391

License Status

CANCELLED

Business

Business Name

PROVIDENT HOSPITAL OF COOK COUNTY

Original Issue Date

07/13/1993

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

02/25/2010