WEST SUBURBAN HOSPITAL ASSOCIATION Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****18

License Status

CHANGE OF OWNERSHIP

Business

Business Name

WEST SUBURBAN HOSPITAL ASSOCIATION

Original Issue Date

01/01/1997

Effective Date

01/05/2010

Expiration Date

03/31/2012

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/11/2010