TARGET PHARMACY 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

TARGET PHARMACY

Original Issue Date

09/22/1993

Effective Date

03/11/2014

Expiration Date

03/31/2016

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2008