TARGET STORE T1024 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****59

License Status

CHANGE OF OWNERSHIP

Business

Business Name

TARGET STORE T1024

Original Issue Date

09/27/1996

Effective Date

03/11/2014

Expiration Date

03/31/2016

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2008