TARGET STORE T1903 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****43

License Status

CHANGE OF OWNERSHIP

Business

Business Name

TARGET STORE T1903

Original Issue Date

07/13/2004

Effective Date

03/11/2014

Expiration Date

03/31/2016

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2008