KMART STORES OF IL LLC 4031 Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****09

License Status

CLOSED

Business

Business Name

KMART STORES OF IL LLC 4031

Original Issue Date

03/17/2004

Effective Date

01/22/2014

Expiration Date

03/31/2016

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

Retail Pharmacy

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/07/2009