Pharmacist
LICENSED CONTROLLED PHARMACY SUBSTANCE
32*****61
NOT RENEWED
Y
UNION HALL PHARMACY
06/29/1981
03/31/1994
LOVES PARK
IL
61111
WINNEBAGO
Hospital/Clinic
II III IV V
10/18/2005
1988001207
Probation
01/26/1990
01/25/1992