87TH AVENUE CVS LLC - Pharmacist License in Illinois | # 054014666

87TH AVENUE CVS LLC

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054014666

License Status

CHANGE OF OWNERSHIP

Business

Y

Business Name

87TH AVENUE CVS LLC

Original Issue Date

11/07/2001

Effective Date

01/05/2010

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

03/04/2010