KMART PHARMACY 4100 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054006306

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KMART PHARMACY 4100

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005