IL DEPT OF PUBLIC HEALTH Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097000253

License Status

CLOSED

Business

Business Name

IL DEPT OF PUBLIC HEALTH

Original Issue Date

12/20/1973

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

05/07/2007