KMART PHARMACY 3620 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054006407

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KMART PHARMACY 3620

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005