THE LUTHERAN GENERAL MEDICAL GROUP S

Business Entity
NOT RENEWED

Pharmacist

LICENSED CONTROLLED PHARMACY SUBSTANCE

32*****51

NOT RENEWED

Y

THE LUTHERAN GENERAL MEDICAL GROUP S

11/06/1989

11/06/1989

03/31/1998

PARK RIDGE

IL

60068

COOK

Hospital/Clinic

II III IV V

N

10/18/2005