OMNI SUPERSTORE PHARMACY 301

Business Entity
CHANGE OF OWNERSHIP

Pharmacist

LICENSED PHARMACY

054009140

CHANGE OF OWNERSHIP

Y

OMNI SUPERSTORE PHARMACY 301

03/10/1987

03/10/1987

03/31/1996

ORLAND PARK

IL

60462

COOK

Y

10/17/2005

1988001212

Probation

08/04/1989

02/03/1991