IL DEPT OF PUBLIC HEALTH Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097000040

License Status

CLOSED

Business

Business Name

IL DEPT OF PUBLIC HEALTH

Original Issue Date

01/01/1997

Expiration Date

12/31/1986

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

05/07/2007