HIGHLAND PARK CVS L.L.C. Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****40

License Status

CHANGE OF OWNERSHIP

Business

Business Name

HIGHLAND PARK CVS L.L.C.

Original Issue Date

09/28/2007

Effective Date

02/08/2010

Expiration Date

03/31/2012

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/19/2008