WELLS PRESCRIPTION PHARMACY

Business Entity
NOT RENEWED

Pharmacist

LICENSED CONTROLLED PHARMACY SUBSTANCE

32*****81

NOT RENEWED

Y

WELLS PRESCRIPTION PHARMACY

03/23/1987

03/23/1987

03/31/1992

CHICAGO

IL

60653

COOK

Hospital/Clinic

II III IV V

Y

10/18/2005

1987000447

Revocation

10/10/1990