TARGET STORE T 2559 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****35

License Status

CHANGE OF OWNERSHIP

Business

Business Name

TARGET STORE T 2559

Original Issue Date

09/21/2009

Effective Date

03/11/2014

Expiration Date

03/31/2016

City

DEKALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2009