KMART PHARMACY 4031 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054005830

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KMART PHARMACY 4031

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005