| Entity Name: | LUTHERAN GENERAL HOSPITAL |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Merged/Consolidated |
| Date Formed: | 28 Jun 1973 |
| Company Number: | CORP_50266109 |
| File Number: | 50266109 |
| Date Status Change: | 01 Jan 1997 |
| Place of Formation: | ILLINOIS |
| Name and Address | Role | Appointment Date |
|---|---|---|
| GAIL D HASBROUCK, 2025 WINDSOR DRIVE, OAK BROOK, 60521, DU PAGE | Agent | 1995-04-10 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| PHARMACY | 054017182 | No data | No data | LICENSED PHARMACY | No data | 2010-02-09 | 2024-01-19 | 2026-03-31 |
| PHARMACY | 059013378 | No data | No data | LICENSED DIVISION III PHARMACY | No data | 1997-03-12 | 2008-01-10 | 2010-03-31 |
| PHARMACY | 059000127 | No data | No data | LICENSED DIVISION III PHARMACY | No data | 1997-01-01 | No data | 1990-03-31 |
| SOCIAL WORKER | 159000150 | No data | No data | REGISTERED SOCIAL WORKER CE SPONSOR | No data | 1992-02-25 | 2020-01-16 | 2022-02-28 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| LUTHERAN GENERAL PASTORAL COUNSELING CENTER | No data | 1992-07-14 | 1997-01-01 | Voluntary Cancellation | No data |
| PARKSIDE LUTHERAN HOSPITAL | No data | 1991-12-31 | 1995-06-01 | Expired | No data |
| PARKSIDE PASTORAL COUNSELING CENTER | No data | 1990-02-09 | 1995-06-01 | Expired | No data |
| PARKSIDE CHILDREN'S SERVICES | No data | 1989-11-03 | 1992-07-14 | Voluntary Cancellation | No data |
| PARKSIDE SPORT AND FITNESS CENTER | No data | 1989-08-25 | 1992-07-14 | Voluntary Cancellation | No data |
| THE OPTIFAST PROGRAM AT PARKSIDE | No data | 1989-08-25 | 1992-07-14 | Voluntary Cancellation | No data |
| PARKSIDE SPORTS MEDICINE CENTER | No data | 1989-08-25 | 1995-06-01 | Expired | No data |
| LUTHERAN GENERAL HOSPITAL - LINCOLN PARK | No data | 1988-01-04 | 1995-06-01 | Expired | No data |
| LUTHERAN GENERAL HOSPITAL - PARK RIDGE | No data | 1988-01-04 | 1995-06-01 | Expired | No data |
| Name | Change Date |
|---|---|
| LUTHERAN GENERAL HOSPITAL, INC. | 1992-07-20 |
Date of last update: 20 Jan 2025
