MEDICINE SHOPPE PHARMACY

Business Entity
CHANGE OF OWNERSHIP

Pharmacist

LICENSED CONTROLLED PHARMACY SUBSTANCE

32*****74

CHANGE OF OWNERSHIP

Y

MEDICINE SHOPPE PHARMACY

01/15/1997

01/15/1997

03/31/2002

EDWARDSVILLE

IL

62025

MADISON

Hospital/Clinic

II III IV V

N

10/18/2005