DIERBERGS GREEN MOUNT CROSSING Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054014984

License Status

CHANGE OF OWNERSHIP

Business

Business Name

DIERBERGS GREEN MOUNT CROSSING

Original Issue Date

03/28/2003

Effective Date

03/03/2020

Expiration Date

03/31/2022

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/19/2021