KMART STORES OF IL LLC 9163 Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****31

License Status

CLOSED

Business

Business Name

KMART STORES OF IL LLC 9163

Original Issue Date

03/08/2004

Effective Date

03/12/2012

Expiration Date

03/31/2014

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Specialty/Qualifier

Retail Pharmacy

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/07/2009