Pharmacist
LICENSED CONTROLLED PHARMACY SUBSTANCE
32*****00
NOT RENEWED
Y
FOREST APOTHECARY
04/08/1986
04/08/1986
03/31/1996
ELMWOOD PARK
IL
60635
COOK
Hospital/Clinic
II III IV V
Y
10/18/2005
1994000850
Revocation
05/22/1998
Being convicted of three felonies involving failure to keep pharmaceutical records as required by the Controlled Substance Act.