KMART PHARMACY 3137 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054006009

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KMART PHARMACY 3137

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005