KMART PHARMACY 9335 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****08

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KMART PHARMACY 9335

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

Retail Pharmacy

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005