KMART PHARMACY 9532 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054014322

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KMART PHARMACY 9532

Original Issue Date

05/01/2000

Effective Date

05/01/2000

Expiration Date

03/31/2004

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/17/2005