KMART STORES OF IL LLC 4464 Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****23

License Status

CLOSED

Business

Business Name

KMART STORES OF IL LLC 4464

Original Issue Date

03/22/2004

Effective Date

02/17/2010

Expiration Date

03/31/2012

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

Retail Pharmacy

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/07/2009