Pharmacist
LICENSED CONTROLLED PHARMACY SUBSTANCE
32*****95
NOT RENEWED
Y
CHICAGO OSTEOPATHIC HOSPITAL & MED C
01/01/1997
03/31/1996
CHICAGO
IL
60615
COOK
Hospital/Clinic
II III IV V
10/18/2005
1990006151
Probation
05/03/1991
05/03/1994