IL DEPT OF LAW ENFORCEMENT Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097000294

License Status

CANCELLED

Business

Business Name

IL DEPT OF LAW ENFORCEMENT

Original Issue Date

11/07/1974

Expiration Date

01/01/1997

City

ROCK ISLAND

State

County

ROCK ISLAND

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005