KISHWAUKEE COMMUNITY HOSP PHARMACY Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****70

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KISHWAUKEE COMMUNITY HOSP PHARMACY

Original Issue Date

01/01/1997

Effective Date

02/18/2020

Expiration Date

03/31/2022

City

DEKALB

State

Zip

60115

County

DEKALB

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/18/2020

Case Number

1990003701

Action

Probation

Discipline Start Date

01/08/1991

Discipline End Date

07/08/1992