GRACE STREET PHARMACY INC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****64

License Status

NOT RENEWED

Business

Business Name

GRACE STREET PHARMACY INC

Original Issue Date

04/03/1986

Effective Date

04/03/1986

Expiration Date

03/31/1990

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005

Case Number

1986000825

Action

Revocation

Discipline Start Date

08/08/1988