KMART STORES OF IL LLC 4433 Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****20

License Status

NOT RENEWED

Business

Business Name

KMART STORES OF IL LLC 4433

Original Issue Date

03/17/2004

Effective Date

01/17/2018

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Retail Pharmacy

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021