CHURCH STREET PHARMACY INC Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****49

License Status

CANCELLED

Business

Business Name

CHURCH STREET PHARMACY INC

Original Issue Date

08/28/1987

Effective Date

08/28/1987

Expiration Date

03/31/1990

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005

Case Number

1987002425

Action

Probation

Discipline Start Date

03/18/1988

Discipline End Date

04/01/1988