Pharmacist

LICENSED CONTROLLED PHARMACY SUBSTANCE

32*****22

NOT RENEWED

Y

ONE-STOP PHARMACY

01/01/1997

03/31/2004

ROCKFORD

IL

61102

WINNEBAGO

Hospital/Clinic

II III IV V

Y

10/20/2005

1992004909

Probation

02/15/1996

02/14/1997