SHOPKO STORES OPERATING CO LLC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****56

License Status

NOT RENEWED

Business

Business Name

SHOPKO STORES OPERATING CO LLC

Original Issue Date

08/02/2006

Effective Date

02/13/2018

Expiration Date

09/30/2020

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

RETAIL PHARMACY

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021