SUPERX DRUGS IL 98 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054008004

License Status

CHANGE OF OWNERSHIP

Business

Business Name

SUPERX DRUGS IL 98

Original Issue Date

01/01/1997

Expiration Date

03/31/1986

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005