PAMIDA PHARMACY 835 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****65

License Status

CHANGE OF OWNERSHIP

Business

Business Name

PAMIDA PHARMACY 835

Original Issue Date

08/02/2006

Effective Date

02/22/2012

Expiration Date

03/31/2014

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

02/06/2008