63RD AND ELLIS PHARMACY INC Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****65

License Status

CLOSED

Business

Business Name

63RD AND ELLIS PHARMACY INC

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005