IL DEPT OF CORRECTIONS Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097000526

License Status

CLOSED

Business

Business Name

IL DEPT OF CORRECTIONS

Original Issue Date

08/22/1988

Effective Date

10/30/2012

Expiration Date

12/31/2014

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

GOVT-STATE

Controlled Substance Schedule

I II

Ever Disciplined

LastModifiedDate

10/19/2010