KMART PHARMACY 9335 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054005449

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KMART PHARMACY 9335

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005