ISLAND PARK PHARMACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****29

License Status

NOT RENEWED

Business

Business Name

ISLAND PARK PHARMACY

Original Issue Date

01/28/1987

Effective Date

01/28/1987

Expiration Date

03/31/1994

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005

Case Number

1988001174

Action

Probation

Discipline Start Date

05/19/1989

Discipline End Date

11/19/1989