KMART PHARMACY 3422 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054006865

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KMART PHARMACY 3422

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005