GENOA HEALTHCARE LLC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****09

License Status

CHANGE OF OWNERSHIP

Business

Business Name

GENOA HEALTHCARE LLC

Original Issue Date

12/03/2013

Effective Date

01/28/2020

Expiration Date

03/31/2022

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

RETAIL PHARMACY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/28/2020