KMART PHARMACY 4297 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054006461

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KMART PHARMACY 4297

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005