CENTRAL DUPAGE SPECIAL HEALTH ASSN Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****93

License Status

CHANGE OF OWNERSHIP

Business

Business Name

CENTRAL DUPAGE SPECIAL HEALTH ASSN

Original Issue Date

03/20/2000

Effective Date

01/05/2010

Expiration Date

03/31/2012

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2010