PHAR-MOR 149 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054009501

License Status

CHANGE OF OWNERSHIP

Business

Business Name

PHAR-MOR 149

Original Issue Date

11/03/1988

Effective Date

11/03/1988

Expiration Date

03/31/1996

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005