KMART STORES OF IL LLC Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****04

License Status

CLOSED

Business

Business Name

KMART STORES OF IL LLC

Original Issue Date

04/06/2004

Effective Date

03/12/2012

Expiration Date

03/31/2014

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Specialty/Qualifier

RETAIL PHARMACY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/07/2009