NORTH PARK PRESCRIPTION PHARMACY Pharmacist License verification

NORTH PARK PRESCRIPTION PHARMACY

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****92

License Status

CHANGE OF OWNERSHIP

Business

Business Name

NORTH PARK PRESCRIPTION PHARMACY

Original Issue Date

09/01/1981

Effective Date

09/01/1981

Expiration Date

03/31/2006

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005

Case Number

1993008222

Action

Probation

Discipline Start Date

01/30/1995

Discipline End Date

01/29/1997

Discipline Reason

Allegedly refilled controlled substance prescriptions beyond the five refill or six month limitation, without physician authorization and failed to implement adequate recordkeeping procedures.