KMART PHARMACY 3474 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054006503

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KMART PHARMACY 3474

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1986000963

Action

Probation

Discipline Start Date

10/05/1987

Discipline End Date

04/05/1988