ILLINOIS LUNG AND CRITICAL CARE INSTITUTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097002309

License Status

NOT RENEWED

Business

Business Name

ILLINOIS LUNG AND CRITICAL CARE INSTITUTE

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

12/31/2020

City

PEORIA

State

Zip

61606

County

PEORIA

Specialty/Qualifier

SOLE PROPRIETOR

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/11/2021