LOUIS VARIETY STORE AND PHARMACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****09

License Status

NOT RENEWED

Business

Business Name

LOUIS VARIETY STORE AND PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

City

CHICAGO

State

Zip

60639

County

COOK

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005

Case Number

1990005491

Action

Revocation

Discipline Start Date

07/08/1991