KMART PHARMACY 4322 Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****21

License Status

NOT RENEWED

Business

Business Name

KMART PHARMACY 4322

Original Issue Date

01/01/1997

Expiration Date

03/31/1994

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005