KMART PHARMACY 4030 - Pharmacist License in Illinois | # 054006504

KMART PHARMACY 4030

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054006504

License Status

CHANGE OF OWNERSHIP

Business

Y

Business Name

KMART PHARMACY 4030

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005