GENOA HEALTHCARE LLC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054019609

License Status

CHANGE OF OWNERSHIP

Business

Business Name

GENOA HEALTHCARE LLC

Original Issue Date

12/03/2015

Effective Date

02/01/2018

Expiration Date

09/30/2020

City

MILWAUKEE

State

Zip

53226

Ever Disciplined

LastModifiedDate

03/29/2019