ILLINOIS MASONIC CANCER CENTER PHARMACY Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED DIVISION V PHARMACY

License Number

093013431

License Status

CANCELLED

Business

Business Name

ILLINOIS MASONIC CANCER CENTER PHARMACY

Original Issue Date

01/02/2002

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

03/22/2010