KMART PHARMACY 4436 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054005819

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KMART PHARMACY 4436

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005