KMART STORES OF IL LLC Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****11

License Status

CLOSED

Business

Business Name

KMART STORES OF IL LLC

Original Issue Date

03/08/2004

Effective Date

02/23/2016

Expiration Date

03/31/2018

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

RETAIL PHARMACY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/07/2009