54TH WESTERN CHICAGO CVS LLC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****77

License Status

CHANGE OF OWNERSHIP

Business

Business Name

54TH WESTERN CHICAGO CVS LLC

Original Issue Date

07/18/2005

Effective Date

02/10/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60609

County

COOK

Specialty/Qualifier

Retail Pharmacy

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2008