CLINIC PRESCRIPTION SHOP Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054004270

License Status

CHANGE OF OWNERSHIP

Business

Business Name

CLINIC PRESCRIPTION SHOP

Original Issue Date

01/01/1997

Expiration Date

03/31/1986

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005