KMART PHARMACY 4971 Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****51

License Status

CLOSED

Business

Business Name

KMART PHARMACY 4971

Original Issue Date

01/01/1997

Expiration Date

03/31/2006

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005