GENOA HEALTHCARE OF ILLINOIS LLC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054017890

License Status

CHANGE OF OWNERSHIP

Business

Business Name

GENOA HEALTHCARE OF ILLINOIS LLC

Original Issue Date

03/27/2012

Effective Date

01/14/2014

Expiration Date

03/31/2016

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

09/28/2015