LILLY PHARMACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****41

License Status

NOT RENEWED

Business

Business Name

LILLY PHARMACY

Original Issue Date

06/05/1986

Effective Date

06/05/1986

Expiration Date

03/31/1988

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/18/2005

Case Number

1986000124

Action

Revocation

Discipline Start Date

10/30/1990