THE PRESCRIPTION SHOP Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054005680

License Status

CHANGE OF OWNERSHIP

Business

Business Name

THE PRESCRIPTION SHOP

Original Issue Date

01/01/1997

Expiration Date

03/31/2000

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

10/17/2005