LAGRANGE ROAD PHARMACY Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****10

License Status

CHANGE OF OWNERSHIP

Business

Business Name

LAGRANGE ROAD PHARMACY

Original Issue Date

01/07/2000

Effective Date

03/09/2016

Expiration Date

03/31/2018

City

TINLEY PARK

State

Zip

60477

County

COOK

Specialty/Qualifier

Retail Pharmacy

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/19/2008