SUPERX DRUGS IL 30 Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054003622

License Status

CANCELLED

Business

Business Name

SUPERX DRUGS IL 30

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005