OLYMPIA FIELDS REGIONAL OSTEO MED CTR Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****12

License Status

CHANGE OF OWNERSHIP

Business

Business Name

OLYMPIA FIELDS REGIONAL OSTEO MED CTR

Original Issue Date

04/10/1996

Effective Date

04/10/1996

Expiration Date

03/31/2002

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005