OMNI SUPERSTORE PHARMACY 301 Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****82

License Status

NOT RENEWED

Business

Business Name

OMNI SUPERSTORE PHARMACY 301

Original Issue Date

04/02/1987

Effective Date

04/02/1987

Expiration Date

03/31/1996

City

ORLAND PARK

State

Zip

60462

County

COOK

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005

Case Number

1988001212

Action

Probation

Discipline Start Date

08/04/1989

Discipline End Date

02/03/1991