THE MEDICINE SHOPPE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****80

License Status

NOT RENEWED

Business

Business Name

THE MEDICINE SHOPPE

Original Issue Date

01/05/1983

Effective Date

01/05/1983

Expiration Date

03/31/1988

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005