IL DEPT OF PUBLIC HEALTH Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097000642

License Status

ACTIVE

Business

Business Name

IL DEPT OF PUBLIC HEALTH

Original Issue Date

04/19/1989

Effective Date

12/02/2024

Expiration Date

12/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

GOVT-STATE

Controlled Substance Schedule

I II III IV

Ever Disciplined

LastModifiedDate

01/30/2025