SHOPKO STORES OPERATING CO LLC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****09

License Status

NOT RENEWED

Business

Business Name

SHOPKO STORES OPERATING CO LLC

Original Issue Date

07/11/2012

Effective Date

01/28/2014

Expiration Date

03/31/2016

City

HOOPESTON

State

Zip

60942

County

VERMILION

Specialty/Qualifier

RETAIL PHARMACY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2016