THE MEDICINE SHOPPE

Business Entity
CHANGE OF OWNERSHIP

Pharmacist

LICENSED CONTROLLED PHARMACY SUBSTANCE

32*****24

CHANGE OF OWNERSHIP

Y

THE MEDICINE SHOPPE

11/02/1995

11/02/1995

03/31/2002

WEST PEORIA

IL

61604

PEORIA

Hospital/Clinic

II III IV V

N

10/18/2005