EHS BETHANY OUTPATIENT PHARMACY Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****91

License Status

CHANGE OF OWNERSHIP

Business

Business Name

EHS BETHANY OUTPATIENT PHARMACY

Original Issue Date

07/20/1994

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60624

County

COOK

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2008