KMART PHARMACY 3758 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054009774

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KMART PHARMACY 3758

Original Issue Date

11/06/1989

Effective Date

11/06/1989

Expiration Date

03/31/2004

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005