TARGET STORE T1036 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****39

License Status

CHANGE OF OWNERSHIP

Business

Business Name

TARGET STORE T1036

Original Issue Date

11/24/1997

Effective Date

03/11/2014

Expiration Date

03/31/2016

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Specialty/Qualifier

Retail Pharmacy

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/07/2009