TARGET STORE T1912 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054015370

License Status

CHANGE OF OWNERSHIP

Business

Business Name

TARGET STORE T1912

Original Issue Date

10/01/2004

Effective Date

03/11/2014

Expiration Date

03/31/2016

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

01/15/2016