FOREST APOTHECARY

Business Entity
NOT RENEWED

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.