KANKAKEE IL CVS LLC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****99

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KANKAKEE IL CVS LLC

Original Issue Date

03/29/2000

Effective Date

01/27/2010

Expiration Date

03/31/2012

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

Retail Pharmacy

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2008