TARGET PHARMACY T902 Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****83

License Status

CLOSED

Business

Business Name

TARGET PHARMACY T902

Original Issue Date

07/14/1995

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

DEKALB

State

Zip

60115

County

DEKALB

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2008