KMART STORES OF IL LLC 3233 Pharmacist License verification

KMART STORES OF IL LLC 3233

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054015173

License Status

CLOSED

Business

Business Name

KMART STORES OF IL LLC 3233

Original Issue Date

03/23/2004

Effective Date

02/09/2016

Expiration Date

03/31/2018

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/09/2016

Case Number

2013006989

Action

Reprimand

Discipline Start Date

04/21/2014

Discipline Reason

for self-reporting shortages of controlled substances in the amounts: 28,866 Hydrocodone-APAP 10-325 Tablets; 12,945ml of Promethazine-Codeine Syrup; and 248 Carisoprodol 35mg Tablets.