KMART PHARMACY 4048 - Pharmacist License in Illinois | # 054006813

KMART PHARMACY 4048

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054006813

License Status

CHANGE OF OWNERSHIP

Business

Y

Business Name

KMART PHARMACY 4048

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

State

IL

Ever Disciplined

Y

LastModifiedDate

10/17/2005

Case Number

2000000804

Action

Reprimand

Discipline Start Date

05/15/2001