Pharmacist
LICENSED PHARMACY
054009148
CHANGE OF OWNERSHIP
Y
PARKSIDE PHARMACY
04/13/1987
04/13/1987
03/31/2002
TINLEY PARK
IL
60477
COOK
Y
10/17/2005
1998010906
Revocation
06/01/2000
Revocation imposed 5/1/00 modified to extend the effective date to 6/1/00.