79TH ST CVS LLC - Pharmacist License in Illinois | # 32*****47

79TH ST CVS LLC

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****47

License Status

CHANGE OF OWNERSHIP

Business

Y

Business Name

79TH ST CVS LLC

Original Issue Date

11/14/2003

Effective Date

02/02/2010

Expiration Date

03/31/2012

State

IL

Specialty/Qualifier

Retail Pharmacy

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

03/12/2008