SMITH PALATINE CVS LLC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****82

License Status

CHANGE OF OWNERSHIP

Business

Business Name

SMITH PALATINE CVS LLC

Original Issue Date

01/12/2004

Effective Date

01/05/2010

Expiration Date

03/31/2012

City

PALATINE

State

Zip

60067

County

COOK

Specialty/Qualifier

Retail Pharmacy

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/11/2010