NORTH GRACE LOMBARD CVS LLC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****84

License Status

NOT RENEWED

Business

Business Name

NORTH GRACE LOMBARD CVS LLC

Original Issue Date

07/28/2005

Effective Date

02/08/2010

Expiration Date

03/31/2012

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

Retail Pharmacy

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2012