KMART PHARMACY 4433 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054006020

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KMART PHARMACY 4433

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005