Pharmacist
LICENSED PHARMACY
054007788
CHANGE OF OWNERSHIP
Y
THE MEDICINE SHOPPE
01/01/1997
03/31/1996
LOCKPORT
IL
60441
WILL
Y
10/17/2005
1990005023
Probation
06/06/1991
06/06/1992
Failed to obtain authorization before filling prescriptions and failed to keep proper billing records.