GENOA HEALTHCARE LLC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****51

License Status

CHANGE OF OWNERSHIP

Business

Business Name

GENOA HEALTHCARE LLC

Original Issue Date

03/27/2015

Effective Date

02/01/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

RETAIL PHARMACY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/01/2018