KMART PHARMACY 4030 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054006504

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KMART PHARMACY 4030

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

10/17/2005