RUSH NORTH SHORE MEDICAL CENTER Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****86

License Status

CHANGE OF OWNERSHIP

Business

Business Name

RUSH NORTH SHORE MEDICAL CENTER

Original Issue Date

01/01/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/25/2008