IL DEPT OF NATURAL RESOURCES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097001392

License Status

NOT RENEWED

Business

Business Name

IL DEPT OF NATURAL RESOURCES

Original Issue Date

11/10/2003

Effective Date

10/16/2014

Expiration Date

12/31/2016

City

ELGIN

State

Zip

60120

County

KANE

Specialty/Qualifier

GOVT-STATE

Ever Disciplined

LastModifiedDate

02/17/2017