INDOCHINA PHARMACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****22

License Status

NOT RENEWED

Business

Business Name

INDOCHINA PHARMACY

Original Issue Date

10/26/1981

Effective Date

10/26/1981

Expiration Date

03/31/1994

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005

Case Number

1993004177

Action

Revocation

Discipline Start Date

04/16/1996

Discipline Reason

Ordering controlled substances on pharmacy account after the pharmacy ceased to operate.