ILLINOIS STATE UNIVERSITY Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097001446

License Status

ACTIVE

Business

Business Name

ILLINOIS STATE UNIVERSITY

Original Issue Date

01/24/2005

Effective Date

07/17/2025

Expiration Date

12/31/2026

City

NORMAL

State

Zip

61790

County

MCLEAN

Specialty/Qualifier

GOVT-STATE

Ever Disciplined

LastModifiedDate

07/17/2025