TARGET PHARMACY T943 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****79

License Status

CHANGE OF OWNERSHIP

Business

Business Name

TARGET PHARMACY T943

Original Issue Date

07/11/1995

Effective Date

03/11/2014

Expiration Date

03/31/2016

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Specialty/Qualifier

Retail Pharmacy

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2008