Pharmacist
LICENSED CONTROLLED PHARMACY SUBSTANCE
32*****20
CLOSED
Y
THE MEDICINE SHOPPE
10/01/1990
10/01/1990
03/31/1994
OAK PARK
IL
60302
COOK
Hospital/Clinic
II III IV V
Y
10/18/2005
1992001687
Revocation
05/06/1999
Failing to exercise good faith in dispensing controlled substances to customers of the Medicine Shoppe.