TAHOE VILLAGE PHARMACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****17

License Status

NOT RENEWED

Business

Business Name

TAHOE VILLAGE PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

City

WHEELING

State

Zip

60090

County

COOK

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005

Case Number

1989004030

Action

Revocation

Discipline Start Date

06/19/1990