KMART STORES OF IL LLC 4100 Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****12

License Status

CLOSED

Business

Business Name

KMART STORES OF IL LLC 4100

Original Issue Date

02/24/2004

Effective Date

03/12/2012

Expiration Date

03/31/2014

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

Retail Pharmacy

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/07/2009