TARGET PHARMACY T1889 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****13

License Status

CHANGE OF OWNERSHIP

Business

Business Name

TARGET PHARMACY T1889

Original Issue Date

10/14/2004

Effective Date

03/11/2014

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2008