TARGET STORE T1799 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054015042

License Status

CHANGE OF OWNERSHIP

Business

Business Name

TARGET STORE T1799

Original Issue Date

07/08/2003

Effective Date

03/11/2014

Expiration Date

03/31/2016

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/15/2016