LAWRENCE MEDICAL SUPPLY INC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****53

License Status

CHANGE OF OWNERSHIP

Business

Business Name

LAWRENCE MEDICAL SUPPLY INC

Original Issue Date

03/02/1983

Effective Date

03/02/1983

Expiration Date

03/31/1996

City

DEERFIELD

State

Zip

60015

County

LAKE

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005

Case Number

1992001167

Action

Probation

Discipline Start Date

03/12/1993

Discipline End Date

09/11/1994