GENOA HEALTHCARE OF ILLINOIS LLC Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****78

License Status

CLOSED

Business

Business Name

GENOA HEALTHCARE OF ILLINOIS LLC

Original Issue Date

01/17/2007

Effective Date

01/05/2010

Expiration Date

03/31/2012

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/22/2010