ILLINOIS NATURAL HISTORY SURVEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097001601

License Status

NOT RENEWED

Business

Business Name

ILLINOIS NATURAL HISTORY SURVEY

Original Issue Date

12/28/2007

Effective Date

01/04/2021

Expiration Date

12/31/2022

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

GOVT-STATE

Ever Disciplined

LastModifiedDate

03/31/2023