KROGER L T C PHARMACY Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****74

License Status

CLOSED

Business

Business Name

KROGER L T C PHARMACY

Original Issue Date

11/09/1998

Effective Date

11/09/1998

Expiration Date

03/31/2004

City

PEORIA

State

Zip

61604

County

PEORIA

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005