THE MEDICINE SHOPPE Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054005272

License Status

CHANGE OF OWNERSHIP

Business

Business Name

THE MEDICINE SHOPPE

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005