KMART STORES OF IL LLC 3758 Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****06

License Status

CLOSED

Business

Business Name

KMART STORES OF IL LLC 3758

Original Issue Date

03/08/2004

Effective Date

01/22/2014

Expiration Date

03/31/2016

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Specialty/Qualifier

Retail Pharmacy

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/07/2009