KMART STORES OF IL LLC 4293 Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****15

License Status

CLOSED

Business

Business Name

KMART STORES OF IL LLC 4293

Original Issue Date

02/25/2004

Effective Date

02/23/2016

Expiration Date

03/31/2018

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Retail Pharmacy

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/07/2009