KMART PHARMACY 3619 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****94

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KMART PHARMACY 3619

Original Issue Date

11/09/1987

Effective Date

11/09/1987

Expiration Date

03/31/2004

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005