SUPERX DRUGS IL 084 Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054007216

License Status

CANCELLED

Business

Business Name

SUPERX DRUGS IL 084

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005