KMART STORES OF IL LLC 3515 Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****00

License Status

NOT RENEWED

Business

Business Name

KMART STORES OF IL LLC 3515

Original Issue Date

03/04/2004

Effective Date

02/17/2010

Expiration Date

03/31/2012

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Retail Pharmacy

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2012