Pharmacist
LICENSED CONTROLLED PHARMACY SUBSTANCE
32*****92
NOT RENEWED
Y
EDGEWATER PLAZA DRUGS INC
01/01/1997
03/31/1990
CHICAGO
IL
60640
COOK
Hospital/Clinic
II III IV V
10/18/2005
1987002440
Probation
01/01/1988
12/18/1988