SUPERVALU PHARMACIES INC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****60

License Status

CHANGE OF OWNERSHIP

Business

Business Name

SUPERVALU PHARMACIES INC

Original Issue Date

12/30/1992

Effective Date

02/08/2006

Expiration Date

03/31/2008

City

AURORA

State

Zip

60506

County

KANE

Specialty/Qualifier

Retail Pharmacy

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/30/2009