KMART PHARMACY 4464 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054005855

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KMART PHARMACY 4464

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005