CHICAGO OSTEOPATHIC HOSPITAL & MED C

Business Entity
NOT RENEWED

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

Y

10/18/2005

1990006151

Probation

05/03/1991

05/03/1994